.r.iunrrf I- ■■■',• VH»vMV*'*J- "" r 












r^iVl 















'^5?:^ 



,; -i^SlW- 



V, 






i 












>^'» 





















.•■>^y'»-r ,1,-' ! <tt ^ 



ti^^i^A .* <.^ Ill I'i' 



&^ 






















■-iv 






>1 „ '-^ 





















-7 -^ 



^^A V^ 






'?> 




.0 




.-^ ^*. 
















^■""^^^^P/^^'V ^N 



,^\ ^ >■ ^ 



xO^., 



J^ 



oX- 



'/. 



o. 



^^^ ^'t. 



"oo^ 



^^% 






.S^%.. 



'^^ 



xOo^ 









c^. 



''^//"-' 



8 I \ "^ V 









-^^ 



G^ .. 



,A^^ 



, \ 1 fi 






A TREATISE 



ON 



DISEASES OF THE SKIN 



BY 



S. LILIENTHAL, M.D. 








NEW YORK AND PHILADELPHIA: 
BOERICKE & TAFEL. 

c^ 18 7 6. 



I 







Entered according to Act of Congress, in the year 187G, 

By BOERICKE & TAFEL, 

la the office of the Librarian of Congress, at Washington, D. C. 



PHILADEI. PIIIA: 
SHERMAN & CO,, PRINT EKI 



PEEFACE. 



About two years ago, Messrs. Boericke & Tafel requested me to 
prepare a work on Diseases of the Skin, for the use of homoeopathic 
practitioners, to be issued with the monthly parts of the Hahne- 
mannian Monthly^ as an appendix to that journal. This treatise is 
the result of that request, the work having been done according to 
the best of my ability. While I have a perfect knowledge of its 
imperfection, I can conscientiously assert, that I have gleaned criti- 
cally and carefully from the best authorities in regard to the pathol- 
ogy and therapeutics of these forms of disease. It is hoped that 
it has and will serve a good and useful present purpose with the 
physicians of the homoeopathic school, and be at the same time a 
foundation upon which a future perfect treatise may be based. But 
a small edition has been printed, and no stereotype plates have been 
used, and the publishers will, therefore, feel themselves free to issue 
a new and enlarged edition as soon as there shall appear to be a de- 
mand for it. In the meantime no labor will be spared to perfect the 
work, and assistance and contributions are requested from homoeo- 
pathic practitioners in all parts of the world. 

The second part of the work, the " Repertory," has been prepared 
exclusively by Clarence M. Conant, M.D., of Middletown, l!^. Y., 
who has performed his difficult task with characteristic ability, and 
to whom I hereby tender sincere thanks. I desire also to thank the 
editor of the Hahnemannian Monthly, Dr. R. J. McClatchey, for the 
careful supervision and proof-reading bestowed upon the entire 
work. 

S. L. 

235 W. Twenty -FIFTH Street, 
New York. 



TABLE OF CONTENTS. 



• 


PAGE 




PAGE 


Introduction, . 


1 


Hauthoderma, . 


113 






Lentigo (freckles), . 


113 


/, Erythematous Erupiiom 




Chloasma, 


114 


Erythema, 
Urticaria, 


11 

12 


Anomalies of Secretion. 






Increase of sebaceous secretion 


118 


//. Papula?^ Diseases of the Skin. 


Acne sebacea seborrhoea, . 


118 


£ »/ 




Comedo, .... 


122 


Lichen, .... 
Prurigo, .... 


15 

18 


Milium, grutum, 
Molluscum, 


123 
123 


///. Squamous Eruptions. 




Lupus erythematodes. 
Acne, . . . . 


125 
125 


Psoriasis (lepra), 


20 


Xeroderma, 


134 


Pityriasis, 


24 






Ichthyosis, 


26 


Hypertrophy and Degeneration. 






Lupus, .... 


. 134 


IV. Vesicular Eruptions. 




Lupus non exedens. 


138 


Miliaria and sudamina, . 


27 


Lupus serpiginosus. 


138 


Eczema, .... 
Camp or prairie itch. 
Treatment of eczema. 


30 
49 
52 


Epithelioma, ulcus rodens. 
Leprosy, elephantiasis grasco- 
rum, ..... 
Elephantiasis arabum. 


141 

145 
150 






Keloid, .... 


152 


CHAPTEE II. 




Eibroma molluscum, 


153 


Herpes, .... 


•61 


Dermatolysis, . 


154 


Treatment, 


74 


Naevus vascularis, . 


154 


Pemphigus, 


80 


Papillary tumors, . . . 


155 


Kupia, .... 


86 


Condylomata, 


157 






Ichthyosis, .... 


158 


V. Pustular Eruptions. 








Impetigo, . . . 


87 


Atrophy of the Skin, 


160 


Treatment, 


92 


Alopecia, .... 


161 


Ecthyma, 


94 






Treatment, 


97 


Diseases of the Nails, 


163 


Furuncles, 


99 


Onychogryphosis, . 


163 


Pustula maligna, 


105 


Atrophy of the nails, 


164 


Pustula Aleppensis, 


107 


Onychia, .... 


164 


Hcemorrhage of the Cutis. 




■ 
Parasitic Diseases of the Skin, . 


165 


Purpura, 


108 


Favus, 


165 






Tinea tonsurans. 


170 


CHAPTEK III. 




Tinea decalvans. 


173 


VI. Pigmentary Diseases. 




Tinea sycosis, .... 
Tinea versicolor, 


175 
177 


Melanoderma, 


110 


Tinea marginata, 


178 


Morbus Addisonii, . 


111 


Tinea tarsi, .... 


181 


Leucoderma, . . " . 


113 


Mycatoma, .... 


182 



I 



viii 




CONTENTS. 






PAGE 




Onychomycosis, 


. 182 


Chilblains, 


Plica polonica. 


. 184 


Condylomata, 




Myringomycosis, 


. 184 


Corns, 




Mycosis vaginalis. 


. 184 


Crusta lactea, . 
Ecthyma, 




Animal Parasitic Diseases of 


Erysipelas, 




the Skin, 


. 185 


Erythemge, 




Scabies, . 


. 185 


Eczema, . 




Prurigo contagiosa. 


. 190 


Felons, . 




Phthiriasis, 


. 193 


Freckles, 








Fungus articulorum. 


VII. Syphilodermata, . .195 


Fungus hsematodes, 


Psoriasis syphilitica 


. 201 


Fungus medullaris. 
Ganglia, . 
Gangrene, 
Goitre, . 
Herpes, . 
Ichthyosis, 
Impetigo, 
Intertrigo, 
Lepra, " . 
Lichen, . 
Lui)us, 
Measles, . 




Pemphigus syphilitica, . . 203 
Kupia syphilitica, . . . 203 




Impetigo and ecthyma syphil., 204 




Tubercular syphilod 
Syphilitic ulcers, 
Alopecia syphilitica 


erma, . 205 
. 206 
. 207 




Onychia syphilitica, 
Plaques muqueuses. 


. 207 
. 207 




Condylomata, . 


. 207 




Treatment, 


. 209 




Scrofulvdermata, 


. 216 


Miliaria, . 
xMoles, . 




Neuroses of the Skin 


. . 217 


Nasvi materni, 
Nettlerash, 




Pruritis and prurigo 


. 218 


Pediculi, . 




Cutis aiiserina. 


. 220 


Pemphigus, 




Angio-neurosis, 


. 220 


Pityriasis, 
Plica polonica, 
Porrigo, . 




Acute Eruptive Diseases, . . 221 




Kubeola, . 


. 222 


Prurigo, . 




Scarlatina, 




. 225 


Psorias, . 




Variola, 




. 237 


Purpura, 




Varioloid, 




. 248 


Koseola, . 




Varicella, 




. 249 


Rupia, 




Vaccinia, 




. 250 


Scabies, . 




Erysipelas, 




. 253 


Scaldhead, 




Typhus and typhoid 


fever, . 257 


Scarlatina, 




Treatment of zymos 


es, . . 258 


Scrofulosus, 
Small-pox, 




EEPERT( 


3EY. 


Styes, 
Syphilis, . 




Abscesses, 


. 391 


Tinea tonsurans. 




Acne, 




. 391 


Tumors, cystic. 




Adenitis, 




. 391 


Ulcers, 




Bedsores, 




. 391 


Varicellae, 




Boils, 




. -» .391 


Varices, . 




Burns, 




. 392 


Warts, . 




Cancer, . 




. 392 


Wens, . 




Carbuncle, 




. 392 


Objective symptoms 





A TREATISE 



DISEASES OF THE SKIN. 



PART FIRST. 

CHAPTER I. 

It has been remarked "by Hebra, in regard to the treat 
ment of diseases of the skin, that he who is always chang- 
ing his plan of treatment is sure not to attain his object 
as quickly as one who steadily and patiently applies what- 
ever remedy seems to be best suited to the case. If such 
a proposition is acknowledged by the physicians of the 
old school as an axiom in the treatment of skin diseases, 
how much more sensible and valuable must it appear to 
practitioners of the homoeopathic school, since it is one of 
the fundamental principles of the homoeopathic method, 
in the treatment of all diseases. Each remedy should be 
allowed its full time of action, without interference or 
repetition ; and this rule is as applicable in the treatment 
of the diseases here to be considered, as in any other of 
the many pathological processes to which human flesh is 
heir. 

That both local and constitutional treatment are neces- 
sary for the cure of cutaneous diseases, is now acknowl- 
edged by most dermatologists ; and we readily endorse 
the employment of local treatment, especially in that 
class of diseases which are due to the existence of fungi 
or animalcul8e. The employment of local measures has 

( 9) 



10 DISEASES OF THE SKIN. 

been to too great an extent denounced as heterodox ; but 
we are of the opinion that members of our school will do 
well if they do not too persistently neglect them. With- 
out denying the possible danger of metastasis, we believe 
that in very many if not in most instances it is a mere 
bug-bear. And although Hahnemann and his immediate 
followers raised their voices against the local use of rem- 
edies, — perhaps for the reason that German dermatolo- 
gists leaned too much towards local treatment, — we still 
regard it as a step in advance to resort to such treatment 
in these cases. It will frequently be found that the sim- 
ultaneous internal and external use of a medicine will be 
followed by the greatest benefit, in cases where its use 
either internally or externally alone might be followed 
by little or no beneficial effects. 

In regard to the classification of diseases of the skin, it 
may be bewilderingly asked : " Which dermatologist will 
you follow?" We have Hebra, Wilson, JSTeumann, Fox, 
^eligan, Willan, Hardy, and a host of others, each of 
whom is presumed to be an authority, while the nomen- 
clature and classification of each differs from that of all 
the others. We cannot help remarking here, in view of 
this Babel of nomenclature : How much better is it to 
know only diseased states, and to avoid being carried 
away by the delusion of a name ? Too many of the zy- 
motic diseases have been classed by writers with diseases 
of the skin, when in fact the cutaneous manifestation ac- 
companying them is a mere accidental circumstance, since 
they may run their course even to a fatal termination 
without any cutaneous manifestation whatever. We 
shall omit all such diseases, inasmuch as the consideration 
of zymotic affections belongs to another branch of pa- 
thology. 

Having once been interrogated as to which classifica- 
tion we preferred, the reply was that we had found in the 
various stages of variola vera, exemplifications of the va- 



ERYTHEMA. 11 

rious forms of skin diseases, and tliat we were of tlie 
opinion that such a classification was simple and at the 
same time practical. We shall therefore adhere to 
this classification into erythematous^ papular^ vesicular 
and pustular diseases, so far as it is possible to do so, in 
considering; ■ the various forms of cutaneous affections of 
which we propose to treat. 



I. ERYTHEMATOUS DISEASES OF THE SKIN. 
Drythetna. 

Erythema, being a mere hypersemia of the skin, makes 
itself objectively known by redness and swelling of the 
skin, the temperature of which is also somewhat increased, 
and subjectively, sometimes, by a sensation of burning 
and itching. It may be either idiopathic {e. g. E. 
traumatlcum, caloricmn^ venenatum) or symptomatic. The 
latter variety also passes under the name of Roseola. 
Thus we have a B. variolosa^ appearing on the second day 
of the disease, especially near the flexures of the joints, 
and lasting from twelve to twenty-four hours ; a JR. vaccinia, 
following vaccination about the ninth or tenth day and 
sometimes spreading from the arm to other parts ; a i?. 
infantilis, frequently setting in during dentition in the 
form of small, sharply-circumscribed red spots, which 
quickly disappear without producing much systemic dis- 
turbance ; a H. a^stiva, frequently caused by gastric dis- 
orders during hot weather. 

In idiopathic erythema, pn the contrary, we have, in ad- 
dition to the redness, a swelling of the integument (exu- 
dation into the derma). Hence we find it subdivided 
into Erythema nodosum., E. papulatum, E. annulare, E. 
marginatum, etc. 



12 DISEASES OF THE SKIN. 

Treatment. The treatment in most cases is veiy simple. 
In idiopathic erythema remove the cause, and in the 
symptomatic variety treat the diseased state which gave 
rise to it. 

Vrticari(i, 

Urticaria or [N'ettlerash is closely allied to erythema, 
Hehra gives as characteristic symptoms: White or red 
2vheals (pomphi) with the sensation of burning and itching/ 
(as after touching nettles), sudden eruption^ sudden disap- 
pearance^ usually loithout desquamation. 

"We distinguish an acute and a chronic form. The former 
manifests itself as fehris urticata hy general malaise, hebi- 
tude, frequent pulse and gastric s^-mptoms, or it may set 
in without any general symptoms. The whole eruption 
may come out suddenly, or the wheals may appear in 
gradiial or rapid succession, or they disappear from one 
place and appear in another. Wheals vary much in form, 
vsize and color ; some have a depression in the centre, but 
each wheal is always surrounded by a red halo. In 
some cases we find extensive red patches containing sev- 
eral wheals. The more extensive the eruption, the severer 
the itching and burning will be. Microscopically exam- 
ined, I^eumann considers a wheal to be an oedematous 
swelling of the papillary layer of the cutis with local 
anaemia. 

Afebrile urticaria may exist for weeks and even months, 
consitantly renewing itself at shorter or longer intervals 
on different regions of the body. It is, in fact, not a 
chronic disease, but rather makes a succession of reap- 
pearances. 

Several varieties of Urticaria have been described, but 
they are merely different aspects of the same disease. 
Thus, where the wheals are large and hard it is termed 
Urticaria tuberosa ; where they are small and knotty. 



URTICARIA. 13 

Urticaria jmpidosa ; and wliere the wheals have small 
vesicles upon them, Urticaria vesiculosa^ etc. 

The causes of these eruptions are numerous and in 
some cases apparently undiscoverable. The contact with 
nettles and with some kinds of catterpillars and mollusks ; 
the bites of fleas, hed-bugs, mosquitoes ; the sting of bees ; 
scratching with the finger-nails ; the application of any 
resinous drug to the skin ; the action of atmospheric air 
on a tender skin in the spring and fall of the year ; intes- 
tinal irritation from eating strawberries, crabs, clams, mus- 
cles, fish during their spawning season, mushrooms, 
pork and some kinds of sausages, honey, green cucumb- 
ers, etc. ; severe mental emotions, as fright, anger, etc. ; 
uterine irritation during pregnancy, menstruation, dififer- 
ent uterine diseases with their hysterical states, have 
all been set down as exciting causes of this troublesome 
disease. Some authors consider urticaria to be a neural- 
gia of the skin. ITebra observed it as a consequence of 
helminthiasis. 

Treatment. Tolle causam^ whenever it is possible. 
Many cases depend on a sympathy with the digestive 
organs, and this idiosyncrasy of certain individuals, when 
discovered, should be remedied by the individual abstain- 
ing from such articles of diet as are found to produce the 
urticaria. Food which will produce it in one person 
may be perfectly harmless to another ; but any person is 
liable to be afifected by some particular substance. In 
some cases a strict vegetable or milk diet has been found 
sufiicient to cure the disease. 

Local applications appear to be of little service. Spong- 
ing with dilute vinegar is often grateful to the patient. 
Tepid baths (85° to 90°) of boiled wheat-bran may dimin- 
ish the annoying itching and burning. "Where the erup- 
tion sets in with the character of a neurosis and in 
outspoken paroxysms, sea-bathing will be found beneficial. 

The totality of the symptoms will indicate the remedy, 



14 DISEASES OF THE SKIN. 

tlie eruption itself giving no therapeutic hint. The old 
school praise Arsenic in chronic cases without gastro- 
enteric symptoms, and Quinine where marked periodicity 
prevails. 

Kafka {Horn. Therapy^ I. 401) recommends for chronic 
urticaria: SidpL, Calc. carb.., Hepar^ Arscn., Sepia, Lycop.j 
Natr. mur. 

Aconite. Great heat, thirst, frequent pulse, malaise, 
sleeplessness, fear or fright, indicate this remedy. 

Bryonia. Atmospheric influence, with simultaneous 
rheumatic articular pains, nightly exacerbations and 
sleeplessness, worse from motion. 

Rhus tox. Atmospheric cold and damp, burning of the 
affected cutis, dry heat of surface with dry tongue, 
nightly delirium. Vesicular urticaria. 

Where gastric catarrhs prevail, Nux vom. and Ant. 
tart. In chronic cases, Sejna or Natr. mur. Pidsai. or 
Didc. find their indication in intestinal catarrhs with mu- 
cous stools and tenesmus. For Dul(f. we also have itch- 
ing of the skin, with burning after scratching, griping 
pains in the bowels, with nausea and diarrhoea, after 
taking cold, the stools being watery. Arsen. (burning, 
chills and fever) or Phosph. are preferable. Helminthia- 
sis will lead us to think of Cina or Sidph. 

"When caused by uterine diseases, Ajris, Pellad., Kali 
carb., Pidsat.y Sepia., Ustil. maid, may be indicated. 

Apis : Stinging-burning over the whole body, passing- 
off after sleeping soundly ; sudden stinging sensation over 
the whole body with white and red spots in the palms of 
the hands, on the arms and feet, on the head and nape of 
the neck ; uterine catarrh. 

Ustilago maid. Terrible itching at night ; menstrual 
irregularities from ovarian irritation. 

Where an erythema or an urticaria is of neurotic ori- 
gin. Chloral deserves consideration, as its application has 



LICHEN. 15 

been followed by red spots (erythema fugax) on different 
parts of the face. 

II. PAPULAR DISEASES OF THE SKIN. 
Lichen. 

Hebra acknowledges only two species of Lichen, viz., 
Lichen scrofidosus (by some called Stroj)hulus) and Lichen 
cxudativus ruber. 

Lichen scrofidosus or Strophulus consists in a dermati- 
tis forming conical pimples in groups. Fine, dirty- 
brownish papules, consisting of a mass of epidermis, seated 
at the openings of the hair-sacs, arranged more or less in 
circles or segments of circles, and generally located on 
the trunk. They never contain fluid, and are always 
covered with scales ; there is little or no itching ; they 
remain unchanged for some time and after their disap- 
pearance they leave behind some scattered pigment spots, 
and here and there an acne-like tubercle or pustule. 
It mostly attacks the trunk, more rarely the extrem- 
ities, and is more frequently observed among children 
than in grown persons. J^eumann report sone case where 
the face and hairy scalp were covered by the efflorescence. 
Cases have also been observed among children where 
the eruption was only on the extremities, leaving the 
trunk free ; whereas in grown persons the extremi- 
ties will onl}' be attacked after the trunk becomes dis- 
eased. Scrofulosis (glandular affections, ulcers, bone- 
diseases, tuberculosis) is its sole cause, and neither season 
or occupation have any influence over it. It is most fre- 
quently found in males between fifteen and twenty-five 
years old, and in such cases it will be advisable to examine 
closely the apices of the lungs ; whereas in children the 
mesenteric glands are more frequently affected. 

Treatment. Cod liver oil externally and internally is, 
by the old school, considered as the panacea for this erup- 



16 DISEASE.^ OF THE SKns. 

tion. We must consider tlie eoiistitutional dyscrasia in 
its totality, and select tlie remedy according to the indivi- 
duality of the case. Hygiene is of tlie greatest import- 
ance. We must improve the food and the air with which 
the patient is supplied if we wish to eradicate the evil. 

Lichen exudativus ruber. We copy Jeffries {Diseases of 
the Skin, p. 22), who copies Hehra, in giving a description 
of this disease. Lichen exudativus ruber is an eruption 
of miliary papules ; at first distinct and covered with a 
thin scale, causing but little itching. They are of a red- 
dish color, and once formed do not increase in size, but 
the increase of their number causes them to unite into 
large patches, red, infiltrated and covered with scales. 
These changes take place at separate and distinct spots, 
finally occupying large tracts on the whole body. The 
outis becomes of twice its ordinary thickness ; the motion 
of the joints is impeded ; fissures cover the joints from which 
l3lood flows to form crusts, etc. The nails become affected, 
thickened, rough and brittle. The hairs of the head, axil- 
Ire and pubes are not affected ; on the rest of the bo<l}' 
they are reduced to a mere lanugo. There is itching 
when the disease is extensive, but not before. The pa- 
tient, as the affection occupies large tracts of the integu- 
ment, becomes broken down, nutrition is weakened, and 
with great marasmus there is generally a fatal termina- 
tion. All attributed causes are but surmises. The age , 
most liable so far as reported is from fifteen to forty 
years. It almost invariably attacks the male sex. 

l^eumann's microscopical examinations give the follow- 
ing result : The epidermic cells are heaped up in large 
masses, with fine granular contents. The cells of the 
rete Malpighii are sometimes grouped and sometimes alone, 
and send out thick, broad and long prolongations be- 
tween the papillae ; around these latter, here and there, 
are brown pigment cells. The papillee are enlarged and 
filled with a set of elastic fibres more numerous than nor- 



LICHEN. 17 

mal, as is alsotlie case throu^liout tlie whole cutis. The 
vessels are dilated, as are also their twigs in the papillae. 
Arteries and veins in the deeper layers of the corium are 
tortuous. Along the vessels are numerous cell-growths, 
increasing their diameter and thus filling up the papillae. 
The openings of the sweat glands are dilated in a funnel- 
shaped manner, and are filled with numerous epidermic 
cells. The sehaceous glands are few and probably de- 
stroyed. The external sheath of the root of the hair 
shows a peculiar appearance : composed naturally of nu- 
cleated cells more numerous around the shaft than at the 
bottom of the follicle, in this disease the reverse is found. 
The follicle is dilated by these cells into regular teat-like 
diverticula resembling an acinous gland, showing, how- 
ever, nothing else abnormal. The root of the hair is stubbed 
like a brush. 

Prognosis is more fiivorable in lichen ruber dispersus 
than in universalis, where marasmus threatens the life 
of the patient. 

Treatment. Ilebra had good results from Arsenic in 
doses of one tenth of a grain to one grain a day. Every 
other remedy failed in his hands. 

Kafka advises for lichen ruber da^^Qr^w^^Iodinc^Salpli.^ 
Iodide of Sidph.^Uyo doses daily ; and for lichen ruber uni- 
versalis, on account of the threatening marasmus, Chinin. 
arsen., Phosph. or Arsen. 

The lichen agrius and lichen simplex of Willan are 
not genuine lichens, but rather belong to the eczematous 
diseases ; and the remedies mentioned by Jahr and Eus- 
sel will be therefore enumerated under eczema. 

In lichen ru])er we have also trreat confidence in Arsen- 
icu7n, for among its symptoms we read: the skin of the 
body peels ofi" in large scales ; painfulness of the skin all 
over the body; miliary eruption, scaling off'; discolora- 
tion of the nails ; marasmus from weakened nutrition. 
SarsajpariUa promises well in this rare but dana:erous dis- 



18 * DISEASES OF THE SKIN, 

«ase. We find among its symptoms : diy, itcli-like erup- 
tions, with emaciation ; diy cutaneous eruptions ; hard- 
ness of skin ; cracks of skin ; emaciation, with shrivelled 
skin, etc. 

As an external application for softening the skin, Gl]/- 
eerine is recommended by many authors, and it may be 
advisable to use it, if only to prevent a resort to injurious 
applications. 

I^rurigo, 

To Ilebra belongs the credit of having marked the dis- 
tinctions existing between prurigo and pruritus. Prup- 
tus is a hyper?esthesia of cutaneous nerves frequently 
a, mere reflex symptom or caused by the presence of 
.some animal parasite ; whereas true prurigo is a fearful 
and often incurable disease. An essential difference be- 
tween these diseases consists in this, that prurigo mani- 
fests itself by the eruption of abundant intensely itching 
knots, whereas in pruritus no alterations of the skin are 
^^isible to the naked eye. The knots of prurigo are gen- 
erally noticed on the exterior sides of the lower and up- 
per extremities ; but less often and less observable on the 
trunk. As these knots of prurigo demand constant 
scratching from the intense itching they cause, we usually 
£nd their summits wounded and covered with a crust 
from the issue of a drop of blood, and further changes due 
to the never-ceasing scratching are, pigmentation up to 
almost negro blackness, thickening, roughness, dryness 
and furrowing of the common integument. The head 
always remains free, the hair dull and dry ; the face is 
but rarely affected but pale and unhealthy. The con- 
stant scratching produces an artificial eczema and also a 
marked swelling of the inguinal and crural glands. 

Prurigo is not uncommon in childhood, but pruritus is 
proportionally far more common in old age. 

]^eumann describes these papules as consisting of cir- 



PRURIGO. 19 

cumscribed cell-proliferations in the papillae, accom- 
panied by an exudation, not extending to any elementaiy 
form, which elevates the epidermis. The rete and epi- 
dermis are more developed and pigmented. The papillser 
and cutis are enlarged and thickened with connective 
tissue ; the outer root-sheaths are strongly developed and' 
the hair follicles have club-like distensions. 

Prognosis is more favorable in children and young; 
persons than in older ones. Prurigo senilis often with- 
stands all treatment. 

Treatment. Cold eftusions, sea-bathing, salt-bathsy 
sulphur-soap, sulphur and sand soap, sulphur ointments,, 
sublimate-baths, alcoholic lotions, veratria, chloroform^ 
and tar-ointment are used as palliatives by the old schooL 
Arsenic and Carbolic acid have been used internally and 
externally with beneiit. Prof. Rothmund recommends- 
hypodermic injections of carbolic acid (four grains to the 
ounce). 

Kafka (II, 457) considers Mercurius a close simile tc^ 
prurigo. Sulphur^ Silex^ lod., Lycopod. and Mezereum- 
may be indicated in certain cases. 

Indications for Iodine are : Old, neglected cases ; knots: 
standing closely together, the surrounding skin full of 
brown pigment, thickened and covered with scales ; irre- 
pressible itching at night, producing constant sleepless- 
ness and constant scratching ; cachectic features, emacia- 
tion and dyspepsia. In similar cases he also used lodiL- 
retum sulph. or Lycopod with beneiit. 

Silicia brought on improvement in a case where the pa- 
tient during the nightly itching had the sensation as if 
ants crawled about under his skin. 

Mezereum relieved a case of unbearable, nightly, burn- 
ing itching. 

Bsehr (II, 591) recommends : Sidphur^ Sepia ^Ar sen. fialc 
carb., Plumb. .^ pro re nata. 

Jahr: Bryon, Calc, Carb. veg.^ Caustic, Coccul.y 



20 DISEASES OF THE SKIX. 

Conium^ Graphit., LycopocL, Here, Natr. mur., Nitr. ac, 
^ux vom., OleancL, Opium, Phosphor., Pulsat., Rhus tox., 
Sepia, Silic, Sulphur, Thuya. But Jahr does not discrim- 
inate closely between prurigo and pruritus. 

Hale recommends for prurigo : Aloes, Apocyn. and.,Col- 
linson., Garb, ac. Ham. virg., Poxmlus (perhaps also 
Rumex) ; but we consider them rather as good remedies for 
reflex pruritus than for genuine prurigo. 

It is important that the nails be kept closely cut or 
that the hands be muffled especially during the night. 



III. SQUAMOUS DISEASES OR SCALY ERUPTIONS 
OF THE SKIN. 

JPsoriasis (Lepra), 

The essential nature of psoriasis consists in an excessive 
growth of epidermis, or in a proliferation of the epider- 
mic cells, and their accumulation upon circumscribed 
spots, at which the papillae of the corium are hypertro- 
phied. It is an inflammatory process of the upper layer 
of the corium and the papillse, accompanied with greatly 
increased cell-growth, and with which the papillae are 
considerably enlarged from the very beginning of the 
disease. 

Psoriasis commences by the appearance of spots of the 
size of a pin's head, of a whitish color, which are diie to 
accumulation of epidermic scales, heaped up on each 
other, loosened from their connection with the cutis, and 
commonly originating at the orifices of hair-follicles. 
(Hebra.) A characteristic of Psoriasis is, that these fine 
mealy scales keep their white color and hardly ever be- 
come dirty, and when scratched oft' wdth the nails leave 
a dry, red spot, very little elevated, on which some points 
of blood are seen. 



PSORIASIS {LEPRA). 21 

These spots {psoriasis punctata) increase slowly, and ac- 
quire in a short time the size of a lentil, and the appear- 
ance of a drop of mortar {psoriasis guttata). Simultane- 
ously with the growth of the first crop, others of the 
same kind present themselves in the intervening spaces 
of skin. By their extension larger spots are produced, 
attaining the size of different coins {psoriasis circum- 
scripta or nummularis). As the disease goes on, different 
patches approach each other and become fused into one, 
giving rise to irregular shapes and sizes ; and thus a very 
large extent of the body may be involved {psoriasis dif- 
fusa). 

Where the eruption involves only a limited extent of 
space, the epidermic scales may become loosened and fall 
off, leaving bright-red, slightly elevated spots ; or we no- 
tice only a partial desquamation, especially in the mid- 
dle of single circular patches, giving rise to psoriasis or- 
bicularis (lepra "Willani, psoriasis leprseformis). 

By the blending together of numerous smaller patches, 
differently arranged, a variety of irregular forms are pro- 
duced. When they take a serpentine form the disease is 
called psoriasis gyrata. 

Psoriasis does not remain constant to any of these 
stages, but passes either into the process of retrogression 
and cure or it remains in statu quo, from time to time 
undergoing exacerbations. In some cases all these dif- 
ferent stages may be witnessed at the same time. As the 
disease subsides, the epidermic scales fall off and leave 
roundish, red spots, not much elevated. These gradually 
lose their color, become pale, and at length the skin re- 
gains once more its normal aspect. As long as exacerba- 
tions take place, a cure is out of the question. 

Only at the beginning of psoriasis an itching sensation 
takes place, whereas the largely developed patches hardly 
ever cause itching. During the periods of exacerbation 
itching likewise occurs. All parts of the body the face 

3 



22 DISEASES OF THE SKIN. 

and the limbs are liable to be invaded. The elbows and 
the knees are the points most frequently attacked, and in 
cases of general psoriasis the disease is most persistent in 
these situations. 

According to its extent, psoriasis is local or general. 
It may become complicated with most diverse diseases. It 
is always a disease of nutrition of the skin, arising from 
tissue irritation, which may be aggravated or perpetuated 
by an unhealthy state of the blood. Its most frequent 
accompaniment is neuralgia, especially of the fingers and 
toes. 

Psoriasis is not contagious, is very rarely fatal, and is, 
in general, amenable to proper treatment. It may occur 
as early as the sixth year of life ; very exceptionally be- 
fore that time. The most common ages for it to appear 
are between twelve and thirty. It may occur under very 
varying conditions and the cause not be known. Hebra 
has seen it amongst the high and the low, the rich and 
the poor, the clean and the dirty, the fat and the lean, 
and" in all its phases in all these. Patients with psoriasis 
not very unfrequently say they feel in better health 
when the rash is out than wdien they are free from erup- 
tion. 

Treatment. Tilbury Fox {Practitioner^ March, 1871 ,) con- 
cludes that in the early stages of every case of psoriasis, 
especially in the young, where congestion is marked, and 
especially where the disease shows a tendency to spread 
and to develop itself in new places, the skin should not be 
stimulated, but simply soothed, the object being to di- 
minish, prevent and dispel congestion, through the agency 
of which the disease is enabled to spread and develop, 
at the same time making use of appropriate internal rem- 
edies. In these cases water-dressing and wet packing are of 
much value Alkaline and bran baths, with inunctions 
of oil, prepare the way for a more effective remedial treat- 
ment, but so long as fresh spots are appearing, as a rule, 



PSORIASIS {LEPRA). 23 

he withholds tarry preparations, which are indicated 
when the disease becomes more chronic, in order to check 
the cell-proliferation without stimulating the skin. 

Kafka (II., 427) begins ,his treatment with a dose of 
Sulphur^ every evening till the itching ceases, which 
usually takes place in two or three weeks. After this 
preparatory treatment he gives Sepia ^ , one dose daily for 
seven days, and then a free interval for three or four days. 
Then again Sepia ^ in the same manner, followed by the 
same interval, then Sepia^^ and then after giving the 
third potency, if the psoriasis is not entirely removed he 
descends to the first dilution, and if the cure is not then 
completed, ascends the scale again in the same manner, 
up to the sixth dilution. It takes from three to four 
months to eradicate psoriasis inveterata. During the 
whole time of treatment the patient must abstain from 
all spiced or acid food, and from all heating or alcoholic 
beverages. After the alkaline bath and after the rubbing 
with soap, the patient ought to remain in a warm room 
till the body is cooled down. 

Hughes {Therapeutics^ 465) has seen it, in its most recent 
form and especially when affecting the hands, yield very 
rapidly to Merc, sol. Even when chronic, much good is 
obtained from this remedy, but too often Arsenic will be 
necessary to complete the cure. 

Dr. Richards {N, A, J. of H.^ Vol. 16,) cured a case of 
eight years standing with Meir. sol, ^ . 

Dr. ]N'ankivell {Hom. Worlds IV., 74,) reports a bad case 
of a year's standing, with chaps and rhagades between the 
fingers, which readily bled, cured with Petroleum ^ and 
Sulphur^^, given at different times. (A palmar skin dis- 
ease, but was it psoriasis ?) 

H. Goullon, Jr. {Record^ 1871) reports a case of an erup- 
tion on the nape of the neck, dry, peeling in fine mealy 
scales^ but ivithout itching (did it itch at the commence- 



24 DISEASES OF THE SKIN. 

ment, and how long had the disease lasted when it came 
under treatment ?) cured hy Graphites. 

Dr. Arcularius {N. A. J. of H., XIX, 414) cured two 
cases of psoriasis guttata (raised, circular, reddish spots, and 
covered with scales, especially upon the prominences of 
the knee as well as the elbow, anaemia with evident de- 
bility) with Arse7i.^^, and one case of psoriasis leprceformis 
(itching eruption, irregular round patches with de- 
pressed centre and scaly circumference) with SidphJ^ 
followed by Arsen.^^. 'Ho external application was used. 

Bsehr (II, 496) recommends Sulph., Phosph., Sepia., 
Petrol., Calc. carb., ISTitr. ac, Phosph. ac, Arseii. and 
Tellur. The turkish-bath may be always taken with 
benefit, combined with the rough application of soap. 
He also considers cold baths decidedly useful, although 
their beneficial results may not be seen immediately. 

Jahr {Symptomen Codex., II., 18.) mentions as corres- 
ponding remedies: Arsen., Calc. carb., Cicut., Clemat., 
Dulcam., Graphit., Lycop.., Mur. ac, Rhus tox.. Sepia., 
Sulph. 

Pane: Arsen., Calc. carb., Clemat., Corall., Nitr. ac, 
Petrol., Phosph., Psorin., Sepia, Sulph., Tellur. 

Hale ; Arsen. jod.., in the third trituration, will often 
give better results in psoriasis inveterata than any other 
preparation of Arsenicum. Iris vers, (irregular patches 
on knees, elbows, and all over the body, covered with 
shining scales, edges slightly raised and irregular). 
Nuphar lutea (eruption resembling psoriasis, violent itch- 
ing). Phytolacca (squamous eruptions). 

JPityriasis. 

Ptyriasis rubra is an intense redness diff'used over a 
large part of the skin, or even universal, disappearing 
beneath the pressure of the finger (when it gives place to 
a yellowish coloring), and accompanied by the presence of 



PITYRIASIS. 25 

fine, white, loosely-adlierent scales, resulting from the 
constant shedding of the most superficial layer of the 
duticle. There is no considerable infiltration of the cutis ; 
no papules or vesicles are formed ; no secretion is poured 
from the surface ; the ifching is slight and does not lead 
to the formation of excoriations ; and lastly, particular 
regions of the body are rarely affected, the whole surface 
of the skin being generally attacked. It is very slow in 
its course, presenting very few changes. Perhaps for 
years the patients are not much affected, but they gener- 
ally lose flesh and strength, and finally sink into maras- 
mus. After death the redness disappears, and the micros- 
cope fails to give any definite results. 

Treatment Hebra tried external and internal medica- 
tion, but failed in arresting the disease. Continued tepid 
baths (for hours), oils and emollient ointments, rendered 
the masses of epidermis more transparent and the skin 
more supple. 

Kafka expects benefit from Clemat ^ or from Oleand.^-^^ 
two doses per day, in combination with tepid bran-baths, 
as long as the process is limited to certain parts of the 
body. Fhosph.^-^^ methodically applied, in connection 
with a strengthening diet might, perhaps, do something 
in universal pityriasis. 

Bsehr (II., 494) considers as the most important rem- 
edies, Graphit. and Arsen. He never, saw much benefit 
from Lycop. or Sulp>h, Where the nails degenerate, Silic, 
might be indicated. 
. Jahr (S. C. II., 18.) again recommends too many rem- 
edies to be of any value, as : Agar., Alum., Arsen. .^ Aur. 
Bryon.^ Brom., Calc.^ Dulcam., Graphit., Kreos.^ Laches., 
Ledum, Lycop., Merc, N'atr. mur., Petrol., Phosph.^ 
Sepia, Silic, Sulph., Thuya. 

Hale: Alnus (?), Arsen. jod., Ampel. (?), Carb. ac, 
miphar, PhytoL, Stilling (?). 



26 DISEASES OF THE SKIN. 

Ichthyosis, 

True Iclithyosis is not due to any trouble with the 
sebaceous secretion. It is an hypertrophy of the skin, 
characterized by the formation of particles of epidermis, 
either white and thin or dark-colored, green, brown or 
even black and rough to the touch, particles which adhere 
firmly to the adjacent derma, and are marked by lines 
and deep furrows similar to but much deeper than those 
which exist on the sound skin. These segments are ad- 
herent at the centre and loose at the sides {Ichthyosis sim- 
plex or Xeroderma). A more advanced stage of the disease 
exhibits the epidermis heaped up in a much greater quant- 
ity and altered in form, as well as in chemical composi- 
tion ; it acquires by an accumulation of pigment a darker 
color, and comes to resemble a serpent or other reptile on 
the bark of a tree. In rarer cases the epidermis is 
arranged in the form of spiculse, so as to resemble the in- 
tegument of a porcupine {Hystricisrnus, Ichthyosis hystrix). 
In some cases the epidermis is horny {Ichthyosis eorneoe) ; 
in others the epidermic masses are shed periodically and 
again speedily accumulate. 

The disease consists essentially in an hypertrophied 
and altered condition of the epidermis, with or without 
hypertrophy of the papillae. The chemical constitution 
of the epidermic cells is altered ; there has been formed 
an excess of the inorganic ingredients generally, with an 
excess of fat and a decided trace of iron, with phosphate 
and carbonate of lime and in some cases silica. In severer 
cases the hair-follicles are occluded and disappear, as weli 
as the sebaceous glands ; there is sometimes hypertrophy 
of the papillae of the skin, and when the disease appears 
later in life general hypertrophy of the cutis vera. 

Its causes are unknown. In some families the disease 
is hereditary, gets better during the years of puberty and 
in summer, but is usually aggravated during winter. 



MILIARIA AND SUDAMINA. 27 

Severe forms of this disease frequently become compli- 
cated with eczemata, intertrigo, and morbid affections of 
the hair. 

Ichthyosis congenita is observed in new-born babes and is 
incurable. Its course is painless, and may last through 
life without undermining the constitution. 

Ichthyosis is either general or local. When general it 
avoids the palms of the hands, soles of the feet, the axillse, the 
popliteal spaces and flexures of the arms. When local it af- 
fects especially the legs and the forearms near the elbows. 

Treatment. Palliatives are: alkaline baths or vapor 
baths, with strong alkaline soaps to remove the scales ; 
oil or glycerine rubbed into the skin afterwards will tend 
to make the skin more supple, though the scales are soon 
formed again. 

Kafka recommends PhospL, lod.^ Aitrum,^ pro re rata. 

Baehr: Silic, Sulph., Calc. carb., Lycop., Arsen., Aur., 
Petrol. (It is very doubtful whether any of these has any 
influence in this disease. Arsenic has been tried by the 
old school and failed.) 

Jahr: Coloc. ? Hepar? Plumb.? 

Hale : Alnus ? Phytol. ? Stilling. ? 

Andouit {Brit. J. of H. XYL, 461), Hydrocotyle asiatica ? 
Symptoms 150 and 151. "The skin becomes softer and 
thinner and again becomes sensitive. The skin becomes 
softer and smoother, the epidermis falls off in small scales, 
and in most cases in large crusts." 

Eaue: Calc. carb., Clemat., Graphit. ? Hepar, Lycop. , 
Petrol., Plumb.? Sepia? Sulph., Silic, Thuya? 

VESICULAR DISEASES OF THE SKIN. 
Miliaria and Siidamina, 

These efilorescences are by many authors not regarded 
as cutaneous diseases, but as symptoms of definite general 
disorders. Neumann describes three species of miliaria : 



28 DISEASES OF THE SKIN. 

1. Miliaria rubra. IN'odules of tlie size of a pin's head, 
reddish at their base, with a minute vesicle at the top. 

2. Miliaria alba. The epidermis is macerated, and 
the vesicle contains a milky, dull-colored (purulent) fluid. 

3. Miliaria crystallica. The contents of the vesicle is 
transparent and bears some resemblance to a dew-drop. 

Hebra considers the last only of these as true miliaria, 
which accompanies many febrile disorders such as acute 
rheumatism, typhus, puerperal fever, etc. ; whereas the 
two first mentioned, in his opinion, should be termed 
Siidamina {sudor., sweat), as high degrees of temperature, 
causing increased perspiration and thus swelling of the 
excretory ducts of the perspiratory glands, produce them. 
In children hot fomentations sometimes produce a com- 
plete form of miliaria alba, in which the epidermis in 
patches is raised by a yellow exudation beneath it. The 
contents of one of these patches is without smell, has a 
neutral or weakly alkaline reaction, and according to 
chemical examination contains N. H4 CI. (chloride of 
ammonium). 

According to Haight, sudamina arise from the accumu- 
lation of sweat between the lamellae of the epidermis. 
They usually last from two to seven days, yet there are 
cases recorded in which they remained for several weeks. 
The afiection has no regular stages, like scarlatina, etc., 
but a large number of vesicles appear simultaneously and 
then in a few days a new crop may be developed. 

The prognosis of miliaria crystallica depends upon the 
primary disease of which it forms a part. Formerly a 
sudden retrocession of the eruption was considered an 
unfavorable omen, but the truth of this is now denied by 
a great many close observers. 

Treatment. Miliaria crystallina needs no special treat- 
ment. "We should attend to the primary disease and ad- 
vise our patients to cover themselves lightly and to sleep 
on matresses (we trust the age of feather beds has 



MILIARIA AND SUDAMINA. 29 

passed). "Where there is an inclination to profuse sweat- 
ing, Kafka recommends sponging with diluted vinegar 
every three, four or -B.Ye hours, which strengthens the 
skin and may prevent the eruption. There is a foolish 
prejudice still existing against changing the linen of the 
patient and of the hed. A due regard for cleanliness can 
never be injurious, provided the changes be made with 
proper care, and the clean clothing be first properly aired 
and then dried and warmed. 

Hughes {Therapeutics, 102) remarks, that the "mediae- 
val sweating sickness has been observed by Dr. Aitken 
among the Orientals. He characterises it as a disease in 
which there is an eruption of innumerable minute pimples, 
with white summits, occurring in successive crops upon 
the skin of the trunk and extremities, preceded and 
accompanied by fever, anguish, oppression of breathing, 
copious sweats of a rank, sour, fetid odor peculiar to the 
disease. Aconite is said to have proved of great value in 
the ' sweating sickness,' and the symptoms show a very 
tolerable homoeopathicity on its part to the disease. Wil- 
son considers such a state as the consequence of a weak 
and exhausted condition, and if Aconite is indicated, we 
would XDrefer giving it in the mother tincture and quickly 
repeated, till reaction takes place." 

We consider Bryonia rather the remedy for sudamina 
and miliaria, as it will more frequently than any other 
cover the symptoms of the primary disease, as also the 
idiopathic sweating-disease, if there is really such a dis- 
ease. In fact most authors recommend the remedies used 
in typhoid conditions, such as Arsen., Bi^yon., Rhus tox,^ 
Laches,, Bellad., Sidphur, Amm. carh., Valerian, etc. Al- 
lopathic authorities recommend Acid, sulph. aromat., 
Acid, phosph., etc. 



30 DISEASES OF THE SKIK 

This is one of the commonest of skin diseases. We 
have general and local, acute and chronic forms of the 
disease ; and faulty innervation^ leading to congestion and 
other disturbances of the circulation, is the most impor- 
tant element in their production. Fox {Eczema^ its nature 
and treatment^ 1870,) says the cause of eczema is multiple ;* 
it is perverted innervation as a sine qua ?io?2, hut plus— not 
as causes hut part causes or excitants, in a variety of com- 
binations and varying frequency of coexistence — gene- 
ral debility, morbid states of the blood, strumous diathe- 
sis, local irritations of the most diverse kinds, diseases of 
important viscera, mental depression, etc. 

Willan and Bateman define eczema as " an eruption of 
minute vesicles, not contagious, crowded together, and 
which from the absorbtion of the fluid they contain, form 
into thin flakes or crusts." 

Wilson regards it as an inflammation of the skin, ac- 
companied with alteration of its structure and derange- 
ment of its functions ; the skin being more vascular and 
consequently redder than in health, its vessels are in a 
state of congestion ; its sensibility is morbidly increased, 
sometimes taking on the character of itching, tingling or 
smarting, and sometimes that of pain ; it is thickened by 
infiltration of serum into its tissues, sometimes fissured 
and sometimes oedematous ; it exudes a serous lymph at 
various times and in various quantities, sometimes exces- 
sively ; its cuticle is sometimes raised into papides^ some- 
times into vesicles^ sometimes wholly removed and is re- 
produced unhealthily so as to form muco-purulent secre- 
tions and squamae of various sizes ; and sometimes the cu- 
ticle is replaced by a cimst of greater or less thickness, re- 
sulting from dessication of the morbid secretions. 

The characteristic signs of eczema are : redness, itchi- 
ness, interstitial and sometimes subcutaneous thickening, 



ECZE3IA. 31 

exudation, papulation, vesiculation, incrustation and 
desquamation. 

Hebra does not restrict the term to a disease character- 
ized by the formation of vesicles followed by desquama- 
tion of the epidermis, but includes in it all disorders of 
the skin which are attended in either their earlier or 
their later stages by the presence of vesicles and serous dis- 
charge. The identity of the different forms of eczema- 
tous eruptions may be proved by a simple experiment, 
viz., by rubbing an agent capable of producing artificial 
eczema once or repeatedly on different parts of the body, 
and the results may be found reducible to the following- 
five principal forms : red elevations and vesicles produced 
by the first application ; red exuding patches produced 
by the continued operation of the same irritation ; pustules 
and crusts, arising from the metamorphosis of the ele- 
vation and vesicles ; and finally, the red desquamating 
patches left after the removal of the forms of efiiorescence. 
Such a view of the metamorphosis of eczema is far more 
plausible than is the view advanced by some dermatolo- 
gists of the conversion of one disease into another — of 
eczema into impetigo, porrigo, tinea, pityriasis rubra 
and the like. 

Milton {Journal of Cutaneous Diseases^ J^ly? 1869), on 
the contrary, considers the essential characteristic of 
eczema to be that of discharging serum for an indefinite 
period of time^ but asserts that there are 7io vesicles, for, if 
we touch these so-called vesicles gently with a blunt- 
pointed glass rod, a minute drop of serum will be found 
adhering to it. The following, according to this author, 
appears to be the processes which ensue in all cases of a 
truly eczematous nature : A portion of skin becomes red, 
inflamed, irritable, stiff and itching, but rarely swollen, 
except when 'the complaint attacks the ear. The cuti- 
cle rapidly dies and is cast off" or torn off by scratching. 
To this succeeds a discharge of serum, which seems to be 



32 DISEASES OF THE SKIN. 

poured out hj the sudoriparous ducts. When the pro- 
cess is slower, the falling off of the epidermis is succeeded 
by a cuticle thicker and coarser in its texture and grad- 
ually assuming the look of a soft scale. He acknowl- 
edges only an acute and a chronic form of the disease 
and considers all other subdivisions superfluous. 

iN'eumann regards eczema as a skin disease which at 
first appears in the form of papules, vesicles or pustules, 
and which forms, in later stages, crusts, scales or infiltra- 
tions, under which a red surface discharging fluid may be 
present, or a dry surface. Severe itching accompanies each 
form. Tinea, porrigo, crusta. lactea, crusta serpiginosa, 
impetigo, etc., are therefore only different stages of eczema 
according to seat and according to stage. 

Etiology. Eczema may be idiopathic or symptomatic. 
Idiopathic eczema arises from direct irritation of the skin, 
as by the action of noxious ointments or oils, hot baths, 
too high a temperature, and by mechanical irritation of 
the skin, especially scratching with the finger-nails, 
pressure of clothing, bandages, trusses, etc. Persons with 
a tender white skin are more prone to eczema than indi- 
viduals having much pigment. Varicose veins are also a 
frequent cause of eczema occurring on the lower extrem- 
ities. Symptomatic eczema is the sequel of internal disor- 
ders. Thus we have eczema (of the face or hands) from 
dyspepsia or menstrual disturbances (very obstinate on 
account of frequent relapses) ; eczema from disorders of 
the renal function, as shown by the presence of indican 
in pathological quantities. Indican is supposed to be 
due to a retardation of the process of declension from the 
complex to the more simple of the products of function 
and secretion. This retardation is due to accumulation 
of urea and other products of waste in the blood, owing 
to deficient renal secretion, and urea has been detected 
in considerable amount in the serum of eczematous pa- 
tients. Indican occurs in the urine in the reactionary 



ECZEMA. 33 

stages of cholera and in Briglit's disease (Lancet, Feb» 
1867). l^eftel (N. A. J, of H., Aug. 1873), considers in- 
dican in the urine as one of the most indubitable signs of 
internal cancerous deposit, which coloring matter is also 
occasionally found in typhus, cholera and other diseased 
conditions. We need not wonder, therefore, that eczema 
is also an accompaniment of the dyscratic diathesis of 
scrofulous and rachitic individuals. 

Hereditary predisposition is acknowledged as a cause by 
some and denied by others. In many cases we will find 
it impossible to trace the disease to any cause. Most 
authorities are agreed in regardinsi; eczema as non-conta- 
gious, although cases occur in which eczematous erup- 
tions with profuse secretion attack the skin with which 
the exudation may happen to come into contact ; — thus a 
nurse may take the disease from the babe she carries on 
her arm. 

Anatomy. The anatomical changes which take place 
in cases of eczema vary according to its duration. The 
microscope detects no difference between the exuded 
gummy fluid and ordinary serum. The follicles, the pa- 
pillae and the upper layers of the corium are swollen in 
acute eczema, but this swelling disappears in the majority 
of cases. If the eczema is chronic, then the skin becomes 
thickened, the lines and furrows deepened, the papillae 
enlarged so as to be visible to the naked eye. The older 
the eczema the larger the papules, and the greater the 
<3ell-proliferation in the corium, so that this sometimes 
reaches down into the deepest layers, even to the panni- 
<julus adiposus. The question as to the source from 
whence proceeds this cell-proliferation awaits a final deci- 
sion. Some consider that the wandering cells come from 
the blood vessels, and regard the capillary congestion as the 
consequence of cell-activity. Others consider nerve-irri- 
tation as the means of inducing cell-proliferation. Others 
justly consider both factors at work, faulty innervation 

3 



34 DISEASES OF THE SKIK 

as well as capillary congestion, in the production of these 
tissue-changes. French authorities cut the Gordian knot 
by accepting a ^'•dartrous diathesis'^ {dartre^ tetter), but fail 
to clear up the mist which still hangs over the histology 
of this as well as of many other forms of skin disease. 

Prognosis. Eczema can be cured, but relapses are fre- 
quent. We must eradicate, if possible, the primary dis- 
ease, if we wish to succeed in the eradication of the 
eruption. Nutrition and assimilation must become nor- 
mal ; they need special attention, and, in fact, if they are 
properly attended to and regulated, the skin may be left 
to take care of itself, apart from merely hygienic treatment. 
It is not a little singular that eczemata are more stubborn 
on some parts of the body than on others, as on hairy 
parts, on the eyelids, lips, hands, etc. 

Treatment, It is an old superstition that eczema in chil- 
dren is a sign of good health, and an imposition to forbid 
its removal. Here, as elsewhere, the removal of the cause 
is the first indication of treatment, and if idiopathic this 
alone will suffice in many cases. In infancy and youth 
eczema appears more particularly on the head and face ; 
in riper years on the chest and abdomen, but especially 
on the genital organs ; and in advanced life on the lower 
extremities and about the margin of the anus (Eayer) ; 
which clearly denotes the symptomatic origin of most 
eczemata. While in infancy and adolescence psora (scrofula) 
demands our attention, we find the rheumatic, gouty and 
haemorrhoidal afiections prevail in riper years ; and Trous- 
seau in his clinical lectures remarks, that very frequently 
old people who are asthmatic have been afflicted in their 
youth with eruptions of an eczematous character, and 
nothing is more common than to find dartrous, rheu- 
matic, gouty and hsemorrhoidal affections transform 
themselves into asthma. 

Hebra, Neumann and Kafka do not fear metastasis to 
internal organs as a consequence of the removal of the 



ECZEMA. 35 

external disease, and in many cases rely exclusively on 
external treatment; whereas Devergie states that at a 
certain period of life eczema becomes a drain which must 
not be meddled with. Tilbury Fox considers the curing 
of long standing eruptions fraught with danger. Wilson 
recommends a counter discharge. Paget states that there 
is sufficient reason to believe that the cessation or cure of 
an established eczema has been attended with serious dis- 
ease of the brain or other internal organs; and Rayer 
mentions a case where insanity followed the disappear- 
ance of the eruption. Further statistics are necessary to 
clear up this point, the evidence being not yet conclu- 
sive. Hebra's local treatment embraces the following 
means : 

1. Water, in consequence of its temperature or by reason 
of its power to hold different substances in solution. 
Hydropathic treatment is highly recommended. Cold water, 
in the form of compresses, is beneficial in acute eczema, 
and hard water ought always to be boiled in order to free 
it from its salty components, which irritate the skin. A 
mild rain-douche sometimes brings temporary relief. As 
a solvent he uses it in combination with caustic potash 
(Kali caustici. Aqua dest. aa. part, sequales), but it must 
not be applied more than three times a week, with a pen- 
cil of lint, and then immediately washed off with warm 
water. In inveterate chronic cases such severe treatment 
is necessary^ 

2. Fatty substances serve for the removal of crusts 
and prevent the access of air, and are useful in cases 
where the skin is not too much infiltrated. The most 
useful preparations are : cod-liver oil, oleum lini, oleum 
amygdalae, oleum olivar, unguentum simplex, unguentum 
molle, cold cream, etc. Axung. porci may be mixed with 
different astringents as Oxid. zinci, Plumb, carb., Merc, 
prsec. alb., 3 j to i j of fat, or Merc, prsec. rub. a grain to 5 j. 
Carbolic acid, 1 or 2 grammes to 100 grammes of lard is 



36 DISEASES OF THE SKIN. 

with some a favorite application, especially in acute cases, 
as it produces a pleasant feeling of coolness and renders 
the skin soft. Unguentum diachyli albi ( 01. olivar. i xv, 
Lithargyri 3 xxx, coque, 1. a., in ung. molle, dein adde 
01. lavandul. 5 ij.) is a favorite application with some in 
all stages of eczema. Green soap (sapo viridis) may be used 
for rubbing on the affected parts, or in the form of paste 
applied on flannel. It is well to rub twice a day all af- 
fected places with soap and flannel. After every rubbing the 
soft soap should be fully washed off with tepid water and 
the parts then covered with cold compresses. The eczema- 
tous vesicles are thus destroyed, and the rubbings should be 
continued till the skin becomes dry and shining. The 
soap-paste is only indicated in strongly infiltrated eczema, 
in order to change it into an acute form and thus to pro- 
duce an absorption of the exudation. 

Tar in its different forms is suited best to the eczemata of 
hairy parts, as in other forms its application is too pain- 
ful. Instead of the crude article, carbolic acid is now in 
fashion (acid carbol, 5 j, solve cum quant, suff. glycer- 
ine, ung. molle i ij — or, acid carbol. 5 ij, alcohol, gly- 
cerine, aa. § ij, aqua destill. 5 vi. The watery preparation 
is preferable in squamous eczema of the hairy scalp. 

3. Powders. The most usual are : Amylum purum. 
Semen lycopodii, Pulv. oxyd. zinc, etc. 

4. Pressure. Infiltrated eczemata need tight bandaging ; 
but this can only be resorted to in eczemata attacking such 
parts as have an osseous support. Thus eczemata of the 
lower extremities are more easily cured if the salves or 
other medicaments are firmly pressed to the affected parts 
by a tight roller; eczemata on the hands by applying 
strips of adhesive plaster over the salves ; infiltrations on 
the upper lip are frequently cured by applying permanent 
pressure with a piece of cork between the gum and the 
upper lip ; chronic infiltration of the prepuce by the pres- 
sure of a metallic catheter introduced into the urethra. 



ECZEMA. 37 

We will hardly ever succeed in curing a case of eczema 
with one remedy, but according to the different stages 
different remedies may be indicated ; age, constitution, oc- 
cupation, even the parts affected will give us hints in the se- 
lection of the appropriate external and internal treatment. 

Hughes considers Bhus tox., Croton, Mercur. and Arsen.y 
the standard remedies for eczema. 

Kafka advises in acute eczema, after removal of the 
cause, the internal application of Mercury or of Hepar. 
Merc. sol. in exuding vesicles with burning, stinging in 
the affected parts, and the surroundings easily inflamed 
after scratching ; Hepar in purulent secretion with forma- 
tion of crusts, with severe itching and scratching. (Edema- 
tous swellings, as of the eyelids, ear, penis, or scrotum, 
etc., and simultaneous swelling of the glands of the neck 
give no contraindication. Mercur. has sleeplessness before 
midnight, Hepar after midnight. 

Arsenic. Dry, scaly eruption, sometimes fetid purulent 
secretion, with nightly burning and terrible itching, 
ameliorated by external heat. 

Mhus tox. and 01. erotonis. Hot^ burning eczemata loith 
copious discharge. Rhus tox. gives us also, burning, itch- 
ing eruptions, particularly on the scrotum, prepuce, eye- 
lids and eyes, loins and anus, with swelling of the parts, 
and small, yellowish vesicles, which run into each other 
and become moist, the larger ones terminating in suppu- 
ration with red areolae, the smaller ones drying up more 
rapidly and scaling off in a few days. 

01. erotonis. Itching, followed by painful burning ; pus- 
tules first of the size of a millet seed, afterwards grow- 
ing larger, running into one another, oozing and lastly 
forming a gray-brown crust ; swelling of the glands. 

Graphites and Calcarea carh. Two to three doses daily 
for thick crusts with constant oozing, especially in eczema 
on and behind the ears, and in eczema scroti. 

Chronic eczema is always based on some internal disor- 



38 DISEASES OF THE SKIN. 

der, and the removal of the dyecrasia, with the application 
of suitahle external medication, is the form of treatment 
to be pursued. We find it necessary in these cases to local- 
ize the eczema. 

Eczema cajpillitii (dartre squameuse humide.) Groups of 
papules and vesicles standing solitary or spread all over 
the hairy scalp, discharging large quantities of fluid after 
they hurst, which mat the hairs together and form flat 
and soft or thick and hard crusts, turning to a yellowish- 
brown by the admixture of blood from scratching, with 
constant oozing of fluid and breeding a large crop of lice. 
As the temperature of the head is increased, the discharge 
becomes foul-smelling. This eruption is very apt to 
spread over the face and down upon the neck. It is 
mostly an affection of childhood, frequently complicated 
with seborrhoea, with catarrh of the eyes and nose, or 
with cerebral congestion. It becomes obstinate through 
the constant breaking out of new efflorescences, and the 
hair falls out. Sometimes an eczema squamosum remains 
after the crusts fall off" and the discharge has ceased, and large 
quantities of scales are formed on the still congested scalp, 
which constantly peel off {dandruff.) A condition such 
as this indicates, according to Kafka, Mercur. sol.^ or 
Rhus tox.^, two doses daily, where there is constant ooz- 
ing from the vesicles, matting the hair and causing a burn- 
ing itching ; in more stubborn cases, Arsen.^^ or Lyeop.^ ; 
and where the glands are affected and other symptoms 
of scrofulosis are present. Sulphur^, Calc. carh.^ or Conium^ ; 
in rachitic patients, Sulphur^ or Silic.^ 

Papules and pustules, oozing constantly and drying up 
to form thick crusts, indicate Mepar^^ Calc. carh.^ or 
Graphit.^ 

Simultaneous scrofulosis points to Baryta carh,^ CaU, 
carb.^, or Sulphur^. Ehachitis to Silic.^ or Fhosph.^^ 

Natr. mur.^, two doses a day, is the remedy for eczema 
capillitii squamosum, using externally at the same time 



ECZEMA. 39 

a solution of table salt, one drachm to six ounces of water. 
The patient should remain in the room until the scalp is 
perfectly dry, after this application has been made. The 
loose scales are best removed by a soft fine comb. 

Raue mentions the following medicaments : Calcar.y 
Xycop., when the eruption yields a thick and mild secretion. 

Arsen.y Natr. mur., Rhus tox., when it looks angry 
and excoriated. 

JBaryt, Graphit.^ Natr. mur.^ Rhus tox.^ when it causes 
falling out of the hair. 

Lycop.y Psorinum, when it smells very badly and lice 
are produced. 

Natr. mur.y when situated on the boundaries of the 
hair, on the nape of the neck. 

Clematis., Petroleum^ when on the neck and occiput. 

Hejpar sulph., when the eruption itches most in the 
morning when rising, with burning and smarting after 
scratching ; likewise after external application of salves. 

Clemat.y Graphit., Hepar., Lycop.^ Natr. micr., Rhus 
tox.y Staphys., Thuya for moist eruptions. 

Arsen., Calc, Mercur., Sepia ^ Silie.., Sulphur when dry 
crusts are formed. 

Baehr gives Mercur. when there is great tendency to 
inflammation of lymphatic glands ; Baryta when there is 
coexisting painless and non-acute inflammatory swelling 
of the lymphatic glands. He also mentions Borax, Clemat.y 
and according to Hartmann, Dulcamara. 

Children during the second dentition sometimes suffer 
from an eczema on the boundaries of the hair on the nape 
of the neck, which, after getting well, makes frequent re- 
lapses, with swelling of the adjacent glands. For this con- 
dition he recommends Calc. carb., JDulcam., 01. crot. and 
Rhus tox. 

Hale advises Carbol. ac, Iris vers., Rhus venen. 

On comparing the recommendations of these different 
authors we find seeming contradictions, which, however 



40 DISEASES OF THE SKIN. 

serve to prove tlie truth of the old maxim, that we cannot 
prescribe by one symptom, but that the subjective as well 
as objective symptoms in their totality must be our guiding 
star in the selection of the homoeopathic remedy. 

Eczema faciale chronicum varies according to the parts 
affected. On the hairy parts of the face the oozing fluid 
dries up into yellow, brown or green crusts, matting the 
beard, and, after removal of the crusts, a red oozing or a red 
scaly surface remains. "Where the disease lasts for some 
time, the bulbs of the hair are drawn into the diseased 
circle and pustules form, each of which appears to be per- 
forated by a hair of the beard. They do not rise much above 
the level of the skin, dry up to solitary, separately standing; 
yellowish-green crusts, under which suppuration progresses 
from one hair bulb to another (sycosis.) This peculiar pro- 
cess has also been observed on the cilise, the supercilise and 
the nostrils, not only causing falling out of the hair, but 
producing scars also. 

Eczema palpebrarum exhibits redness and swelling of 
the eyelids, with excoriations and pustules in the neighbor- 
hood of the cilise, which become matted together and form 
yellow or grayish-yellow crusts. 

Severe burning and itching accompanies this process, 
and the cilise will be destroyed. It is frequently associ- 
ated with conjunctivitis, constituting the disease termed 
psorophthalmia. 

At the roots of the hairs of the nostrils the pustules dry 
up to thick crusts, which sometimes close up the opening 
of the nostrils, and thereby cause an erysipelatous in- 
flammation of the external cutis of the nose. 

Eczema faciei. This may appear in all its varieties on 
the face. In children it usually attacks the cheeks, the 
forehead and the chin, and gives rise to the formation of 
crusts. It is then known as crusta lactea. Its character- 
istic symptoms are, redness, swelling, oozing and the for- 
mation of crusts. On the cheeks and forehead yellow crusts 



ECZEMA, 41 

form, having an appearance somewhat similar to dried 
honey ; after some time they turn green or dark-brown 
from the admixture of blood. Terrible itching accompa- 
nies this eruption. 

Eczema aurium is either ichorous, pustulous or squa- 
mous, and spreads over the whole ear or attacks only 
single parts. It occupies chiefly the fissure behind the 
ear, more rarely the lobes of the ear, or the meatus ex- 
ternus may become obstructed by the swelling, in which 
case the whole ear looks stiff and stands off from the 
head ; the limpid ichor is seen to ooze from the follicles 
in separate drops and often with such rapidity that the 
discharge is really enormous, or the exudation quickly 
dries up into yellow crusts, under which accumulations 
of lymph or muco-purulent fluids are held. 

Eczema naris spreads from the external cutis to the 
mucous membrane of the nose, whereby the nasal secre- 
tion is increased. It is mostly only a continuation of 
facial eczema, and although the discharge soon dries up 
into crusts, still it never produces ulceration or destruc- 
tion of the underlying parts. The adjacent cheeks are 
frequently red and swollen. 

Eczema oris et labiorum. The eruption is unsightly and 
troublesome, and often, from the extension of the cracks, 
very painful, and it is very slow and obstinate under 
treatment. Where rhagades exist, the skin is more or 
less thickened and condensed by serous infiltration. 

Kafka cured a case of eczema capillitii in a grown per- 
son, after other remedies had failed, with Mereuriusprcecipi' 
tatus ruber internally and externally (gr. j to 5 ij. axungia), 
and he found the same treatment satisfactory for eczema 
attacking hairy parts, whether of the chin, the eyelids or 
the nostrils. Extraction of the hairs is necessary where 
pustules form around them, as they then discharge their 
contents and heal up under the use of the red precipitate. 



42 DISEASES OF THE SKIN. 

Crusta lactea requires Clematis^ 01, croton. Borax, Viola 
tricolor. 

Eczema auris. Merc, sol., Hepar, and, where severe 
burning is felt and continuous scratcliing seems a neces- 
sity, Bhus tox., Arsen. or Carh. veg. After tlie redness 
and heat are diminished, but the morbid secretion is still 
kept up, Alumen internally and externally may be of use. 

But in these cases also, especially where crusts and fis- 
sures exist, the red precipitate is the most reliable pre- 
scription. 

Eaue mentions Arsen., Bellad., Borax, Calc. carb., 
Clemat., Cicut., Crot. tigl., Cyclam., Graphit., Hepar, 
Lycop., Mercur., ]!Tatr. mur., Ehus tox.. Sepia, Staphys., 
Sulphur. 

Jahr advises Arsen., Calc. carb., Calc. mur., Cicut., 
G-raphit., Lycop., Mercur., Rhus tox., Sarsap., Sepia, 
Sulphur, Yiol. tr. 

Guernsey {Obstetrics. 2d. ed., p. 870) gives the following 
clinical indications for " eczema capitis," or crusta lactea : 

Aconite. Much fever, restlessness, anguish ; the parts 
much inflamed. 

Arsenicum. Dry and scaly eruptions, with destruction 
of the hair in such places as are affected, leaving the scalp 
rough and dirty looking. 

Baryta carb. Particularly when the cervical, submax- 
illary and parotid glands become swollen and hard. 

Bryonia. Scalp is very tender so that the child cannot 
tolerate even a soft brush. In cases complicated with 
some other affection in which there is aggravation from 
motion. 

Calc. carb. Leucophlegmatic temperament ; eruption 
with thick scabs and yellow pus ; stools of a chalky ap- 
pearance, sometimes the eruption appears in the form of 
a ringworm. 

Gicuta virosa. Thick, whitish scurfs on the chin and 
upper lip, with oozing ; scurfs form on the nose. 



ECZEMA. 43 

Clematis. Dark, burning miliary eruption, with vio- 
lent itching ; a dampness constantly exudes from this 
which dries into scurfs as the disease spreads onward. 

Dulcamara. Thick, brown herpetic crusts on the face, 
forehead, temples and chin, with reddish borders, bleed- 
ins; when scratched. 

Graphites. The eruption exudes a transparent, glutin- 
ous fluid, which causes the crusts to fall off — when more 
form, to fall again in turn, — meanwhile the eruption 
keeps spreading. Especially useful in eczema on the chin 
and behind the ears. 

Hepar. Eruption spreads by means of new pimples 
appearing just beyond the main disease, which finally run 
together. 

Jacea. Violent itching eruption, worse every night, 
and urine smelling like cat's urine. 

Lycopodium. Eruption has a bad smell and bleeds 
easily. 

Mercur. sol. Much salivation and scorbutic gums. 

Phytolacca dec. Moist eruption, itching fearfully, with 
little raw tubercles on scalp, face and arms. 

Fsorine. Intractable cases. 

Rhus tox. A bright edge of inflammation surrounds 
every portion of the eruption ; much itching at night. 

Sarsaparilla. The entire base of the eruption is much 
inflamed; the child cries much and is uneasy; the 'crusts 
become detached in the open air and the adjoining skin 
chapped. 

Sepia. Moist eruption, constantly discharging pus- 
like matter ; the child often jerks its head to and fro. 

Staphysagria. The scabs are yellow, moist, offensive and 
itch violently. 

Sulphur. The eruption extends more or less over the 
whole body, with much itching, although the main affec- 
tion appears on the head. 

Viola tricolor. Thick incrustations, pouring out a large 



44 DISEASES OF THE SKIN. 

quantity of thick yellow fluid, which agglutinates the 
hair. 

Rutherford Eussel {The Skin and its Diseases, p. 108) 
advises in eczema aurium : 

Graphites. Itching behind the ears, itching of the 
lobule and cheek ; after scratching the part lymph oozes 
out and soon hardens. 

Hepar, Heat, redness and itching of the external ears ; 
scurfs on and behind the ears. 

Oleander. Humid fetid spots behind the ears, with 
rough herpetic spots in front. 

Cod-liver oil is the best greasy application for the 
purpose of softening and removing or preventing the 
formation of the crusts in this disease. 

Eczema mammilarum is often a painful and obstinate 
complaint, especially during lactation. It may be ichor- 
ous, pustulous, squamous, or deeply chapped and fissured. 
In cases caus^ from lactation, the internal and external 
use of Arnica (Tinct. Arnica, gtt. vj, ad aqua fontana 
^ vi) suffices; or where the pain is very severe, moist 
compresses of Nitras Argenti (gr. j, ad aqua fontana 
5 j ) ought to be put over the nipple, and the mother 
advised to allow longer intervals between the nursing, 
in order to give time for healing. Cosmoline is beginning 
to gain reputation in this complaint. Crusts around the 
nipples, with chaps and fissures, in women not nursing, 
need the red precipitate internally and externally. 

Eczema umhilicale et inguinum results from the heat, 
moisture and friction which are the inseparable con- 
sequences of the apposition of folds of the skin, as in 
natural depressions like the navel, in the fold between 
the mammae and waist, the thick folds of the neck and 
abdomen in fat persons and infants, the fissure between 
the buttocks, or between the thighs and the scrotum or 
labia majora. This form of eczema is usually termed in- 
tertrigo, and may be erythematous, ichorous or squamous. 



ECZEMA. 45 

The itcliino; and burnino; of this eczema is sometimes un- 
bearable, and, when the discharge is ichorous, the exuda- 
tion is apt to take on a muco-purulent character. In the 
squamous variety there are cracks and rhagades of consid- 
erable depth and extent. 

Raue recommends Ammon. carh.^ Calc. carb.^ Grajphit^ 
Ledum.) Mercur.., Se'pia^ Sulphur. 

Kafka says that the chronic eczema umbilicale, as ec- 
zema rubrum, without simultaneous swelling of the skin, 
requires Merc, jprmc. ruber ; as moist eczema, with swelling 
and doubling down of the umbilicus, needs Alumen. inter- 
nally and externally. 

Eczema ani will be ameliorated by Nitr. ac.^ or Carb. an.^ ; 
where the itching produces sleeplessness at night. Sulphur^ 
or Arsen.^ ; when fissures or rhagades are present, the red 
prsecipitate will prove the best remedy. 

Eczema pudendi, perinei and ani. The itching of ec- 
zema is nowhere more strongly manifested than in the 
region of the pudendum, perineum and anus, in the male 
and in the female ; and in no situation is it more lasting 
and obstinate. In the deepest folds there is always a 
moist secretion, etc., and in the cleft between the scrotum 
and the thighs and around the anus there are frequently 
painful rhagades and fissures. 

The scrotum is peculiarly subject to itching: it is apt 
to be much torn by the nails, and that which before was 
a mere pruritus of the skin is rapidly converted into an 
erythematous and ichorous surface, tender, painful and 
thickened. 

Eczema not unfrequently attacks the deep furrows of the 
prepuce and assumes a chronic character. It is erythe- 
matous, dry, squamous and fissured ; the skin being in- 
durated and thickened is apt to contract around the 
glans and occasion phimosis. When the eczema is on the 
lower surface of the penis, we find the skin there red and 

4 



46 DISEASES OF THE SKIN. 

humid, itching terribly, and in children giving rise to 
onanism. The oozing is generally slight. 

Eczema rubrum is found on the labia majora, spreading 
thence outwardly and inwardly. In the former case the 
redness, swelling and morbid secretion may spread to the 
mons veneris and umbilicus, downwards to the thighs and 
knees, inwardly to the nymphse and to the mucous cover- 
ing of the clitoris and vagina, and the redness, swelling 
and discharge is often taken for a genuine leucorrhoea. 

Eczema ani causes redness and swelling of the skin sur- 
rounding the anus. In consequence of the numerous folds, 
more or less deeply penetrating fissures and rhagades arise, 
exuding copiously and itching to such a degree that the 
patients continually scratch and even produce prolapse of 
the mucous membrane. 

Raue advises Argent, nitr., Arsen., Calad., Crot. tig., 
Graphit., Hepar, Lycop., Natr. mur., IsTitr. ac, Petrol., 
Ehus tox., Sepia, Sulphur, Thuya. 

Eussel : Arsen. Itching of the anus, with a feeling of 
roughness and soreness, as if the parts were excoriated. 

Aurum. Itching of the scrotum. 

Dulcam. Herpetic eruption on the labia majora. 

Mercur. Swelling of the prepuce, with burning, smart- 
ing and redness, with cracks and rhagades on the internal 
surface and a red fine surface ; vesicles on the forepart and 
sides of the glans, penetrating into the parts and spread- 
ing ; they discharge a fluid and soon disappear ; itching 
of the labia. 

Petrol. Itching and moisture of the scrotum ; redness 
and humid soreness of one side of the scrotum ; herpes 
between the scrotum and thigh. 

Sulphur. Prickings in the scrotum ; soreness and damp- 
ness of the scrotum. 

Kafka : Merc, proec. ruber is the remedy when the back 
of the penis is affected, and JRhus tox.^ Arsen. or Alumen, 
for moist eczema of the inferior surface of the penis. 



ECZEMA. 47 

Scrotal eczema needs unremitting patience and endur- 
ance from physician and patient. As long as the skin of 
the scrotum is not infiltrated and copiously discharging, 
JRhus tox., Arsen.j or Crotal. ought to be given. Alumen. 
internally and externally has done good ; but where the 
skin is thickened, infiltrated and between the folds sore 
and humid, we apply methodically Rhus tox.^ Sepia or 
Graphite and in obstinate cases Silic, or Laehesis. 

Chronic eczema of the female genitals, extending out- 
wards, needs Sulphur^ Calea7\ or Hepar ; that extending 
inwardly Alumen^ or a wash of nitrate of silver. 

Eczema ani will be ameliorated by Nitr.ac, Curb, an,^ 
or Causticum. 

Severe itching at night, with sleeplessness, always indi- 
cates Sulphur or Arsen. Merc, prcecip. ruber will always 
act favorably in eczema where rhagades and fissure are 
present. 

Baehr recommends, in eczema scroti : Grot tig.., Calad., 
Rhus tox.., Sulphur., as long as the eruption is in its acute 
stage ; for the chronic variety : Anthrak.^ Sulphur .^ Arsen. y 
Lycop..) Nitr. ac, Graphit.^ Petrol..) Thuya, 

Eczema marginatum, or circumscribed eczema, always be- 
gins on that side of the thigh where the scrotum lies. A 
red, elevated, orbicular, itching spot arises. The centre of 
the circular spot soon turns pale and a red margin remains, 
consisting of papulse, vesicles, and excoriation. On the 
edges the eruption increases peripherically and sometimes 
reaches the size of the palm of the hand. It hardly ever 
remains isolated, but others form in the neigborhood of 
the affected part or symmetrically on the other thigh, 
running the same course as the first one. These circular 
rings or marginate blotches have also been observed on 
other parts of the body. 

Kafka recommends Sepia^ or Natr, mur.^ Tepid baths 
aid the action of the internal remedies. 

Eczema extremitatum. This form of disease has the 



48 DISEASES OF THE SKIN. 

peculiarity of appearing on correspondingly situated parts 
of the skin. The thin skin of the flexures of joints is 
especially susceptible to eczema, which may be ichorous 
or squamous, accompanied with rhagades and fissures, and 
frequently bleeding during the movements of the limbs. 
Stretching the limbs is very painful, and sometimes well- 
nigh impossible. Where the eczema attacks both sides of 
the joint, extension and flexion are prevented. The more 
the epidermis thickens and becomes infiltrated, the more 
will fissures appear and mobility be difficult. Eczema of 
the lower extremities frequently shows this peculiarity, 
that the skin appears thickened and infiltrated by vari- 
cosity of the veins, by chronic dermatitis cellulosa, by 
varicose ulcers, etc., and the eruption shows a darker 
color. The other characters of this eczema are the same 
as those of other forms, viz., infiltration, humidity, crusts 
and scales. 

Eczema manurn is frequently met with, as the hands are 
exposed to the action of irritants of various kinds. To 
this class belong Willan's "washerwoman's itch," grocer's 
itch, and baker's itch. It is frequently of the scaly and 
fissured kind. The palms of the hands may be dry, 
scaly, thickened and hardened, contracted, with long 
and deep cracks in the lines of motion. On the fingers it 
sometimes assumes the vesicular form, but more fre- 
quently the scaly, with fissures and cracks longitudinally 
and in the direction of the wrinkles of the joints. When 
it attacks the nails, they become discolored, brittle, rag- 
ged and uneven. Kafka says that the chronic eczema of 
the extremities requires the usual treatment, but it is an 
obstinate disorder to treat. By the steady and methodical 
application of Hhus^ Sepia or Graphit. a cure may be 
effected. In a very obstinate case Iodine internally, two 
doses a day, and a weak solution externally (gr. j. to 5 j.)> 
produced amelioration and absorption of the infiltration. 

Eaue : Eczema of the legs, salt-rheum, is the result of 



ECZEMA. 49 

stagnation in the venous circulation, and it will be of great 
service to bandage the limbs tightly. Compare : Arsen.y 
Calc.carh.fiarh. veg.^ Graphite Lack. ^ Lycop.^ Mercur.,N'atr. 
mur., Rhus tox., Sarsap.^ Sepia ^ Silic.^ Sulphur. 

Eczema in the bends of the extremities: Ammon. carb., 
Eryon., Calc. carb., Grraphit., Ledum, Mercur., Sepia and 
Sulphur. 

Eczema^ seu psoriasis^ palmaris et p)lantaris : Magn. c, 
Eanunc. bulb., Rhus, Sepia, Sulphur. 

Baehr especially recommends Staphisagria in eczema 
pedum, or Rhus, Carbo veg., G-raphit., Lycop., Mercur., 
Sulph. 

A peculiar form of eczema, indigenous to America, is 
the 

Cmnp Itch or Frairie Itch. 

It is true that this disease has not all the characteristics 
of eczema, nor of prurigo or lichen, yet it is thought best 
to place it here, amenable to more accurate classification 
hereafter. 

Dr. Thomas Rowsey {U. S. M. and S. J., II., 337.) gives 
the following description of this troublesome disease: 
When it makes its appearance in a new section of coun- 
try, it rages a long time with marked virulence, gradually 
disappearing as the tillage of the soil increases. Its ap- 
proach is slow and insidious. In most cases the presence 
of the poison is unsuspected, until an intolerable itching re- 
veals at first an erythematous fiush on the inner aspects of 
the thighs or arms. This flushed surface, if examined un- 
der the microscope, will exhibit large numbers of lohite^ 
transparent^ cone-like vesicles., each elevation containing a 
drop of thin, limpid fluid, which is exceedingly acrid and 
irritating. They appear in irregular patches on the inner 
surface of the arms and thighs, on the breast and abdomen, 
at the wrist, near the shoulder, on and between the scap- 
ulae, around the ankles, and in the flexures of the joints. 
The perineal region and the under and inner surface of 



50 DISEASES OF THE SKIN. 

the scrotum are frequently involved, and the friction pro- 
duced by the clothing in walking, chafes and irritates the 
already excoriated parts. On the prepuce and on the 
outer edges of the labia it sometimes begets the most ob- 
stinate itching. 

Where the eruption runs its regular course, the minute 
vesicles gradually enlarge and become pustular in from 
one to three days, and if left perfectly undisturbed, they 
will perfect within two weeks from the date of their first 
appearance, when they suddenly disappear, and the skin is 
sometimes thrown off as after measles. Epidermic irrita- 
tion continues while desquamation is going on. If the 
scratching and tearing could be prevented, the affection 
might disappear in a few weeks without remedial assist- 
ance, for the denuded surfaces take on a new morbid action 
and soon a dirty, yellowish-brown crust is formed, beneath 
which extensive suppuration is frequently carried on. Fu- 
runculosis quite often adds to the general disturbance. 
Sometimes these monstrous scabs crack open in the middle, 
through which quantities of offensive looking pus are dis- 
charged, and in neglected cases ulcers with sharply defined 
edges, bearing some resemblance to the varicose ulcer, are 
met with on the anterior surface of the lower extremities. 

As prodroma we sometimes find nausea and headache, 
or a sense of weight and soreness in the back. Many 
times just before the eruption, and almost invariably dur- 
ing its progress, there exists dryness and heat in the 
fauces, mouth and lips. Ey and by the whole economy 
becomes involved; the tongue assumes a dirty -yellow 
coating, with great dryness in the morning, when the pa- 
tient first awakes, bowels constipated or irregular, exces- 
sive secretion of very pale or reddish-brown urine, some- 
times with but often without deposit. The urine is 
strongly alkaline. In children the entire glandular system 
becomes affected. The least warmth aggravates the itch- 
ing. It is neither of parasitic origin nor contagious. 



ECZEMA. 51 

Dr. W. S. Searle {U.S.M. and S. J., III., 1.) considers this 
affection a mere hyper^^esthesia of the cutaneous nerves, a 
mere pruritus, but still makes contagiousness the sole di- 
agnostic symptom of the disease, and bridges this chasm 
by the hypothesis, that the hypersesthesia produces a 
change in the nutrition of the cutaneous cells, and a con- 
sequent change in the secretions of the skin. (Contagi- 
ousness, except parasitical contagiousness, is yet an open 
question in most disorders.) 

Treatment. Eowsey considers the best local application to 
be a lotion of the lye of wood ashes. This lye must be diluted 
with two or three times its quantity of water and applied 
with a sponge to the diseased surface. It should be strong 
enough to create quite a sharp, smarting, tingling sensation, 
but not an actual pain. For internal use he gives the fol- 
lowing medicines. 

Kali ^^' ^^' or ^^^- Burning, itching, sensitiveness and ten- 
sion of the skin ; heat and burning in the face, generally in 
the morning or in the middle of the afternoon ; eruption 
in the perineal region and upon the scrotum, along the 
edges of the labia ; head feels dull and heavy, but does 
not ache ; sensation of soreness when moving the head ; 
swelling of the cervical glands ; offensive discharges from 
the ear ; long-continued nausea, vomiting, frequent eruc- 
tations; pain and uneasiness in. the region of the liver; 
aching and soreness in the lower extremities. 

JRhus tox. The vesicles have been torn and lacerated, 
and large quantities of acrid fluid are discharged ; intense 
itching; the skin feels sore and stiff; general bruised 
feeling over the whole body ; heavy rheumatic pains. 

Viola tricolor. — Stinging, burning, itching over the 
whole body, almost insupportable; itching of the pre- 
puce ; gastric disturbances. 

Ledum pal. — Itching eruption scattered thickly over 
the scalp ; flush on face and forehead ; peculiarly indicated 



52 DISEASES OF THE SKIN. 

for enlargement of the cervical glands ; burning and 
smarting in the lower extremities ; bone pains. 

Mezereum. — Burning in tbe stomach; enlargement of 
the cervical glands ; sensation of tightness and dryness in 
the throat ; numerous boils and abrasions have a tendency 
to ulceration; is indicated in pale cachectic persons and in 
those of a strumous diathesis. 

Searle considers Rumex crisjms the true specific for thi« 
horrible plague. According to Wood and Bache, Rumex 
contains sulphur, besides various salts, among v^hich are 
the phosphate of lime and different acetates and malates 
v^hich probably renders it so useful in skin diseases. 
In Bellevue Hospital it is very generally used in a large 
proportion of venereal, scrofulous and cutaneous diseases 
as a substitute for Sarsaparilla, and with the most satis- 
factory results. It has cured several inveterate cases of 
itch. {Transac. Am. Med. Assoc.., I., 1848.) 

Great care should be observed in regard to cleanliness. 
The underclothing should be changed twice or thrice a 
week, and an occasional ablution of the whole body with 
castile soap and water will expedite the cure. A mild 
nourishing diet, which will not too heavily tax the diges- 
tive organs, will best suit such sufferers. 

(Camp itch, army itch, prairie itch— we know very well- 
have not all the characteristics of eczema nor of prurigo, 
but we have to place them somewhere, with the idea of 
placing them more suitably by-and-by.) 

General Indications for Memedies Useful in 
the Treatment of Eczema, 

(From the Lectures of Professor A. K. Morgan, late of the Homoe- 
opathic Medical College of Pennsylvania and the New York 
Homoeophathic Medical College.) 

Aconite. — In plethoric persons ; acute symptoms ; sting- 
ing and pricking of skin ; anguish, restlessness, crying 
out. 



ECZEMA. 53 

Ajpis mel. — When the skin is red and oedematous — burn- 
ing and stinging. (Silicea, stinging without swelling and 
redness.) ~Eo thirst ; urine scanty ; tendency to dropsy. 
Aggravation. From heat. Amelioration. From scratch- 
ing, and cold water. (Pulsat. and Sepia.) 

Antimonium tart. — Eczema impetiginoides ; vesicles 
surrounded by a red areola — with itching ; eruptions about 
the nose and eyes, neck and shoulders and back of the 
ears. Sleepiness, with nausea ; irritable, wants to be 
carried ; complains when touched ; rattling cough. 

Arsenicum.— Dij eruption, accompanied by intense burn- 
ing of surface ; little itching ; very restless, wants to 
change position; thirsty, drinking but little at a time 
(China) ; the water disagrees ; always in a hurry. Painful 
sensations felt during sleep. Dry, parchment-like skin 
(Graphit.). Eruption appears about the face and extremi- 
ties ; corrosive discharge ; has a tendency to turn black. 
Aggravation. From cold in any form ; from scratching 
(burning), with bleeding after ; at night, particularly after 
midnight ; in open air ; from heat. 

Aurum. Old persons. Constant desire to be out in the 
open air, even in bad weather. Suicidal tendency. Mer- 
curial symptoms. 

Alumina. — Scalp, face and extremities are affected, with 
itching. After scratching a moisture is developed. There 
is little or no relief after scratching. Tendency to grow 
moist. The slightest bruise of the skin smarts ; the nails 
are brittle ; dry skin even in hot weather. The patient 
feels hidebound, as if the white of an egg- had dried on 
the surface. (Graphit. Phos. ac, Sulph. ac, Magn. carb., 
Baryt. carb.) Aggravation. In evening and from heat of 
bed (itching \ During full moon. Every other day. Ame- 
lioration. In open air. (Baryt. carb.) 

Baryta carb. — Fat, dumpy children ; hunch-back chil- 
dren, with swollen lymphatics. Eruptions moist, itching, 
burning and pricking ; moist eruption on scalp ; the hair 



54 DISEASES OF THE SKIN. 

falls oat ; glandular swellings ; diffident, timidity in the 
presence of strangers ; wants to be left alone (Lycop. 
Ignat. Sepia). Takes cold easily, and has sore throat — 
chronic sore throat. Feels hidebound (Alum., Glraphit.). 
Aggravation. At night and from scratching (Anac, Bovist., 
Calad., Caustic, Con., Ledum, Mezer., Pulsat., Silic, 
Stront.). Amelioration. When walking in the open air. 

Bovista. — Moist vesicular eruptions with formation of 
thick crusts — under the crusts the formation is increased. 
No relief from scratching. Eruptions about the mouth 
and nostrils. Upper lip swollen (Calc. carb., Hepar, 
Lycop., Mercur., E^atr. mur.). Complains of general 
lassitude, especially in the joints — always dropping every- 
thing that they take hold of (Apis). The skin and 
superficial fascia are flabby, and an impression made with 
a blunt instrument remains a long time. Constipated. 
Patient w^ants to urinate immediately after micturition. 
Perspiration smells like onions. Aggravation. From 
warmth. 

Belladonna. — Robust persons ; excitable ; over-sensitive. 
Eruptions appearing during dentition, with tendency to- 
wards convulsions. Scarlet redness of the entire surface, 
diffused, non-circumscribed. Burning and itching with 
great sensibility to touch (Hepar, Cinchon., Mercur., 
Rhus). Redness and heat of face ; pupils dilated. Jerk- 
ing of tendons. Excitable or somnolent; perspires on 
face or neck, or else only on covered parts. Erratic pains. 

Calcarea carb. — Phlegmatic persons with light hair and 
blue eyes. Females whose menses appear too soon and are 
too profuse. A long acting remedy. Full habit. Children 
bloated ; hard, swollen glands. Fleshy children, with lax 
fibre. Swollen upper lip (Hepar, Lycop., etc.). Obstinate, 
self-willed. Characteristic. 'No dread of water, but cuta- 
neous affections are aggravated by water. A sulphur 
patient dreads water. (Worse in water, Arsen., Ant. 
crud., Carbol. ac, Dulcam., Nitv. ac, Pulsat., Sepia and 



ECZEMA. 55 

Sulphur.) Extremely prostrated by a short walk. Takes 
cold easily. 'Eo sleep. Eruption frequently dry, burning, 
and itching ; skin cracks ; deep fissures occur. Moist 
variety. Crusts thick on face, neck and scalp. Chronic 
eruption, with cold feet, as though there were damp 
stockings on them. Sensation of cold in inner organs. 
Aggravation. In open air. From water. Amelioration. In 
a warm room. 

Caladium seg. — Burning vesicular rash on chest and 
fore-arm, and on the vulva. The appearance and disap- 
pearance alternate with asthma. Great disinclination to 
move. Characteristic. Vertigo on going to sleep ; dare 
not sleep on account of it ; low spirited. Amelioration, 
When perspiring. 

Cantharis. — "Watery vesicle, as if excoriated ; burning, 
itching, and when touched there is burning and smarting. 
Eruptions complicated with urinary difficulties. Perspi- 
ration smells like urine. Eruptions mostly on right side. 
Aggravation. From touch. Amelioration. From lying down. 

Carbo veg. — Cachectic individuals. Fine rash, fine 
and moist, accompanied by burning sensation on difier- 
ent parts of the body, not especially the spot where the 
eruption is ; appears on face and chin. Action on venous 
capillaries. Hemorrhoids, with flatulence. Aggravation. 
From warmth and water (From water, also, Calc. 
carb., Ant. crud., Dulcam., etc.). 

Causticum. — Moist eruption, especially on nape of neck. 
Rheumatic and gouty. Insupportable restlessness. Erup- 
tion around the nipple, tending to ulceration. Child is 
afraid at night in a dark room ; does not want to go to 
bed alone. Aggravation. In evening ; in the open air. 
Amelioration. From warmth and heat of bed. 

Clematis erect. — Eruption on back of head and neck ; 
tingling and itching. The vesicles break, overflow the 
other parts, with tendency to ulceration. Sticking sen- 
sation when touching the skin. Eruption moist during 



56 DISEASES OF THE SKIN. 

the increasing moon, and dry during the decreasing. Erup- 
tions following suppressed gonorrhoea. Aggravation. From 
washing and heat of bed. 

Conium mac. — Glandular enlargement. Moist vesicles, 
aggravated by scratching. After scratching, pricking in 
skin. Eruption developed by being over-heated. Gluey, 
sticky discharge, forming hard crusts. Eruptions in old 
people ; taciturn ; wants to be alone. Occurs about the 
face and arms and mons veneris (Ehus). Vertigo seems 
to come on when turning the head, when turning over 
in bed, and when looking up. Aggravation. When scratch- 
ing. 

Dulcamara. — Vesicular eruption on face and extremi- 
ties, oozing a watery fluid ; bleeds after scratching ; erup- 
tion preceding catamenia. Persons who get angry easily. 
Aggravation. From cold ; in cold weather and after taking 
cold ; in evening when at rest. Amelioration. "While moving 
in warm air. 

Grajphites. — Obese people ; blonde complexion ; despond- 
ency. Females who are subject to scanty menstruation ; 
very dry skin ; never perspire ; great soreness of the skin 
after scratching ; red stripes of inflammation. The symp- 
toms predominate on the left side. Especially adapted to 
eruptions behind the ears, back of head, and in bend of 
limbs. Moist eczema ; after scratching a moisture exudes. 
Eczema palmaris ; sticky and profuse secretion of serous 
fluid ; eruptions apt to become purulent ; patients take 
cold easily. Aggravation. In the evening ; from cold ; a 
draught of air. Amelioration. When at rest. 

He-par sulph. Moist eruption ; light hair ; glandular 
enlargements ; skin burns and itches after scratching ; ex- 
tremely sensitive to contact and touch (Bellad., Mercur., 
Ehus. Relieved by contact, Bryon., Thuya, Zincum). Skin 
inclined to ulcerate ; sores exceedingly sensitive to touch 
(i^itr. ac). The large sore is surrounded by small pustules. 
The eruption predominates on the scalp. After the abuse of 



ECZEMA. ^7 

Mercury. Aggravation. From contact ; at night, and from 
cold air. Amelioration. From warmth or wrapping one's 
self up warmly. 

Kali carb. Persons inclined to pulmonary difficulties; 
take cold easily ; sensitive to cold. Characteristics. Stick- 
ing pains all over ; eruptions dry at first but when scratched 
exude a moisture ; comes on in warm weather ; puffy and 
baggy swelling of the upper eyelids {Arsen. puffiness of 
lower eyelid) ; great dryness of skin ; deficient perspira- 
tion (Graphit., Alum., Ledum) ; yellow, scaly, violent- 
itching spots over the body, especially over abdomen and 
around the nipples. Aggravation. Between two and 
three o'clock a.m. ; from cold air (Hepar) ; from becoming 
cold. Amelioration. In warm air and on getting warm 
(Hepar). 

Ledum. Eczema occurring in drunkards. The erup- 
tion comes out after a debauch. Dry eruption ; gnaw- 
ing, itching of skin ; sensation as though lice were crawl- 
ing over the surface ; unnatural dryness of skin (Graphit., 
Alum., Kali carb.). Characteristic. In rheumatic persons 
the pain commences in the feet and goes up. Aggravation. 
From heat and motion (pain in joints only); heat of bed. 

Lycopodium. — Eruption first vesicular then^ dry; the 
surface bleeds after scratching ; biting and itching when 
becoming warm ; humid eruption, full of deep cracks, after- 
ward covered with a thick crust. Eruption on back part 
of head, moist, smelling fetid ; bleeding after scratching ; 
oozing after scratching with increase of crusts ; great 
debility while at rest, feels as though he had no strength 
(Arsen. just the reverse) ; inclined to* constipation ; wants 
to eat, but a few mouthfuls fill him up full. Aggravation, 
After getting heated, and from wet poultices ; from four 
to eight P.M. Amelioration. From cold ; from uncover- 
ing one's self. 

Mercurius sol. Eruption dry and itching ; after scratch- 
ing obstinate bleeding and great smarting ; eruptions all 

5 



58 DISEASES OF THE SKIN. 

over the body, particularly on hairy parts ; adapted to 
persons who perspire easily ; no relief from perspiration ; 
loss of tone of all the mucous surface (Glon., lodium, 
Stramon., Tellur.) ; imprints of the teeth on the tongue 
(Rhus). Aggravation. At night ; after getting in bed (itch- 
ing) ; after scratching. Amelioration. In the morning. 

Natrum mur. — Eruption which comes in the bends of 
the knees and elbows ; behind the ears and back of the 
head and neck ; in the border of the hair. A humid 
eruption^ ivith gluey discharge, matting the hair ; great raw- 
ness and soreness of the skin ; smarting. Light crusts 
form on the back of head and neck, along border of hair, which 
are irregular and resemble peach gum. Vesicular erup- 
tion on and around lips. Lips and corners of mouth ul- 
cerated and cracked. Borders and corners of eyelids raw 
and ulcerated. Itching, humid eruption on face and 
chin ; raw, angry looking eruption. Eruptions developed 
by exercise. Shooting pain in skin. The skin symptoms 
of I^atr. mur. most resemble those of Graphit. Aggra- 
vation. In the forenoon and from exercise. Amelioration. 
After lying down. 

Nuxjuglans. — Burning, itching vesicles upon a cracked 
surface, with a greenish discharge, which stiifens the 
linen. Large blood boils on shoulders and in region of 
liver, very painful. Aggravation. In the evening and at 
night. 

Oxalic acid. — Exceedingly sensitive skin, with vesicular 
eruptions. Characteristics. Suffers from the use of sugar 
and sweets in general. Aggravation. All symptoms while 
thinking of them (reverse. Camphor). 

Oleander. — ^Vesicular eruptions about the head of chil- 
dren, with smooth, shining surface, with drops of serum 
standing out here and there. Humid, scaly eruption 
on the back part of head and behind ears, with biting and 
itching, as from lice (Ledum) ; relieved when first scratch- 
ing, but soon followed by burning and soreness (Sulphur), 



ECZEMA. 59 

which gives place to biting and itching. Gnawing and 
itching, with red, excoriated, shining surface. Aggrava- 
tion. From scratching, and when undressing (itching, 
(Arsen., CoccuL, Mezer., I^ux, Pulsat., Ehus tox., Silic). 

Fetroleum. — Moist eruptions, with great itching ; copious 
oozing after scratching. Ulceration after scratching. Ob- 
stinate dry eruptions on genitals and perineum. Eruptions 
on the inside of thighs. Skin heals with difficulty. Aver- 
sion to open air. Aggravation. During a thunder storm 
(Phosphor.) ; in the open air. Amelioration. Prom warmth 
and warm air. 

Phosphorus. — Dry eruptions, burning and itching. Lean 
persons. Can't lie on the left side. " Small wounds 
bleed much." (The blood coagulates quickly, reverse 
Laches.) Aggravation. In the evening ; at night ; before 
midnight; during thunder storm (Pulsat.). Ameliora- 
tion. After scratching ; after sleeping. 

JRhus tox. — Burning vesicular eruption, coming on in 
cold weather. Eruptions on hairy parts, and on genitals, 
with tingling and itching. Humid, itching eruptions on 
head, forming thick crusts, having an oiFensive smell ; 
falling off of the hair. Hardness and thickening of the 
skin, with rhagades (scrotum), with intolerable itching. 
Humid eruptions on scrotum; milk crust on face, humid, 
angry looking, forming hard brown crusts. Aggravation. 
From cold in general ; getting wet ; in the morning and 
during cold weather. Amelioration. Immediately after 
scratching (afterward burning) ; by motion. 

Ranunculus bulb. Vesicular eruption as from a burn ; 
smarts as if scalded. Eruptions in clusters. Aggravation. 
In the evening ; from change of temperature ; from touch 
and motion. 

Sepia : Eruptions during pregnancy and nursing. Dark 
complexioned persons and especially corpulent women ; 
great lowness of spirits ; nervous excitability ; sad, in- 
clined to wake in the morning early, about three, and 



60 DISEASES OF THE SKIN. 

cannot sleep again ; itching of the skin changing to burn- 
ing when scratched ; vesicles ooze serum on being scratched; 
soreness of skin and humid places in the bends of the 
joints and behind ears (Katr. mur., Graphit., Petrol., 
Lycop.). Humid eruptions, itching, and btirning. Dry 
eruptions appear on the inside of elbows and knee joints. 
Dry ring worm (Tellur) especially on the face of children, 
about the mouth the spots are round ; dry, offensive erup- 
tions on the vertex and back of head, itching and tingling, 
with cracks behind the ears, with soreness after scratch- 
ing. Aggravation. In open air; by application of cold 
water ; after eating. Amelioration. In a warm room and 
in warm air. 

Staphysagria. Humid vesicles which are offensive, burn- 
ing and itching, about the head and ears of children ; 
scratching sometimes changes the locality of the itching ; 
oozing after scratching ; scalp painfully sensitive ; skin 
peels off, with itching and biting ; the hair is inclined to 
fall out; hypochondriac; cross words injure the feelings; 
children are impatient, cry for things and throw them 
away after getting them. Aggravation. From scratch- 
ing ; from touching the affected parts ; from abuse of Mer- 
cury. Amelioration. From walking in open air. 

Sulphur. Voluptuous itching all over, with burning 
after scratching, or with soreness after scratching and 
sometimes little vesicles ; creeping of the skin as though 
insects were on the surface ; eruption on back of head and 
behind ears, dry, offensive, scabby, with cracks, easily 
bleeding, burning and painful ; relieved while scratching, 
with burning and intense soreness, sometimes bleeding, 
after scratching ; takes cold easily, with glandular swell- 
ing ; skin cold and dry ; the patient is thin and stoops in 
his gait ; great aversion to washing and to open air ; 
peevish and fretful at night with burning of palms of 
hands and soles of feet. Aggravation. From getting warm 
in bed (itching); from washing; during full moon ; from 



HERPES, 61 

wet poultices (Lycop.). Amelioration, From lieat ; in dry 
weather ; after rising. 

Sulphuric acid. Moist eruption with pricking of the 
skin ; on scratching the itching changes locality (Staphys.). 
Eruptions succeeding suppressed gonorrhoea (Clematis). 
Aggravation. In open air. 

Thuya occ. Itching vesicles with shooting pains ; skin 
extremely sensitive to touch ; burns violently after scratch- 
ing ; dry, scaly eruptions on head extending to the tem- 
ples, eyebrows, ears and neck, with itching, tingling and 
biting ; dryness of covered parts ; perspiration of parts 
uncovered, smelling sweet like honey ; eruptions only on 
covered parts ; offensive perspiration of the feet. Aggra- 
vation. From cold wet; heat of bed; about three a.m. 
Amelioration. From gentle rubbing (itching) ; from warm 
wet (reverse Lycop. and Sulphur) ; from a development of 
coryza. 



CHAPTER II, 

VESICULAR DISEASES OF THE SKIN -Continued. 

JECerpes, 

Prof. Hedges, of Chicago, {CT. S. M. and S. J., YIII, 
440.) justly remarks that the diagnostic differences between 
eczema and herpes are slight, and that the two diseases 
often grade off into each other in such a way that the line 
of demarcation is with difficulty traced. The vesicles of 
herpes are larger than those of eczema and do not tend to 
become confluent. Each herpetic vesicle runs its course 
distinctly and separately. Again, in eczema there is a de- 
cided tendency to the formation of raw and moist crusts, 
secreting and discharging a gelatinous watery discharge ; 
which is quite different from the course taken by an her- 
petic eruption. 



62 DISEASES OF THE SKIN. 

Tilbury Fox regards the herpetic eruption as buUulce, 
and thus places it between eczema and bullse. He also 
remarks that the disease is characterized by the presence 
of vesicles distinct from each other and invariably seated 
upon an inflamed base. They are generally tolerably few 
in each separate collection of vesicles ; do not rupture as 
a rule ; and their contents, alkaline or neutral when clear 
and slightly acid when turbid, after becoming opaque, 
disappear by resorption, but now and then by rupture 
and desiccation into light brownish scales. The vesicles 
last about seven or eight days. The disease is mostly ac- 
companied by sensations of heat, tension and burning, 
which indeed are felt to a greater or less extent before the 
appearance of the eruption. Occasionally severe neuralgic 
pains occur before, during or after the eruptive stage ; this 
being particularly the case in herpes zoster. 

."Willan designates herpes as a common acute, non- 
contagious, vesicular disease. Neumann places herpes 
zoster among the angio-neuroses, thus showing its origin 
in nervous disorders, and again, according to its objective 
symptoms, under herpes (Blaschenflechte), which he also 
considers as an acute, non-contagious disease, running a 
typical course, in which vesicles or blebs appear in groups 
upon an erythematously-inflamed portion of the skin. 
The eruption is attended with burning pain, which is very 
intense in some forms of the disease and has the character 
of a neuralgia. This pain may last long after the disappear- 
ance of the eruption. 

a. Herpes lahialis, or \>QtteiV, facialis. This affection accom- 
panies febrile diseases. Groups of vesicles are also seen 
on the mucous surface of the mouth and pharynx. Similar 
herpetic eruptions occur, in otherwise perfectly healthy per- 
gons, on the forehead, lids, nose and ear ; and in young per- 
sons, at certain definite periods of the year, herpetic erup- 
tions recur, with febrile symptoms, over the extensor 
surfaces of the elbow and knee-joints, and after a few days 



HERPES. 63 

similar groups of vesicles show themselves on the cheeks 
or perhaps on other parts of the hody. (Jeffries, p. 44.) 

Gerhardt explains the origin of herpes facialis thus : 
The small arteries which run in the bony canals next to 
the fine trigeminal twigs, become contracted at the com- 
mencement of the febrile attack, and owing to the hot 
stage again dilate, so as to press on the nerves and irritate 
them, and hence a vesicular dermatitis. He lays stress on 
the fact that the place of election of this eruption is in 
the region between the chin, ear and eyebrows. 

Bertholle describes cases of herpes of the soft palate ap- 
pearing suddenly during perfect healthy with great pain on 
swallowing, accompanied with severe headache, accelerated 
pulse and hot skin. The reddened and swollen pharynx 
and tonsils are covered with small yellowish specks 
of the size of a lentil, which, on account of the delicacy of 
the epithelium, very quickly rupture and are seen only as 
reddened points devoid of epithelium. They are occasion- 
ally met with on the uvula and anterior pillars of the 
fauces, but are never seen on the 'posterior wall of the pharynx. 
As a general rule the vesicles are not confluent, but they 
leave flat ulcers behind them which soon heal. 

b. Herpes progenialis. Jeffries correctly states that this^ 
vesicular eruption is not a neurosis and therefore ought not 
to be regarded as an herpetic eruption, nor has it anything 
in common with syphilis. Such vesicles frequently aj^- 
pear on the genitals in men and women, which remain 
as such but a very short time, for the epithelium soon 
ruptures, being softened by the high temperature. These 
places, stripped of epidermis, become irritated and in- 
flamed by the sebaceous secretion abundant in such places 
in man and by leucorrhcea in women, or simply from the 
contact of the two surfaces of skin, and they are sub- 
sequently covered with a yellowish purulent layer. These 
little ulcers are of the size of a pin's head or a lentil, and 
quickly heal by cleanliness ; but they differ from genuine 



64 DISEASES OF THE SKIK 

herpetic eruptions in this, that the vesicles very quickly 
run into each other and form a sore which may closely 
simulate chancre, having a white base and an elevated 
margin ; hut they secrete very little or no pus, whereas 
the discharge from a chancre is quite considerable. 

c. Herpes iris and circinatus. Herpes iris commences as a 
solitary vesicle on an inflamed base, and new vesicles 
spring up around the primary one in the form of con- 
centric rings, which have different colors and contents 
(serum, sero-pus and pus) according to their stage of de- 
velopment. The disease is never attended by any con- 
stitutional symptoms. Its common seat is the back or 
palm of the hand or the instep at first, but it may subse- 
quently involve the entire extremity, commonly, however, 
only the forearm and leg are implicated, while the body 
and face remain free. In severe cases the eruption is at- 
tended with a febrile condition. It appears in young per- 
sons, chiefly in the spring and autumn, but Fox has also 
observed it in elderly people. It may last for weeks and 
is apt to reappear. 

Herpes circinatus is simply a variety of herpes iris in 
which the disease spreads peripherically in the form of 
vesicles while the process of drying has already taken 
place in the centre. The peripheral portion shows several 
rings of vesicles at the same time, and the livid redness 
around the circle leads one continually to expect new 
additions. In true herpes circinatus the vesicles are plainly 
visible ; their contents, at first transparent, soon become 
turbid, and give rise to a thin brownish scab. A second 
crop of vesicles sometimes follows, but the affection com- 
monly runs its course in eight or ten days. (Hillier.) "We 
are of the opinion that these two forms of eruptive disease 
should not be classified with hepetic eruptions. 

d. Herpes zoster, zona, shingles, derives its special name 
from the peculiar manner in which the groups of vesicles 
tend to encircle the body like a girdle. It follows the 



HERPES. 65 

course of one' or more of the cutaneous nerves, generally 
stopping short at the median line before and behind, 
though it may cross this point. It generally affects the 
trunk, but may attack the face, the shoulder, the abdom- 
inal wall or upper part of the thigh (the line of eruption 
corresponding to that of the long axis of the limb). The 
right side is more frequently attacked than the left (101 
in 178 cases according to Baerensprung). The disease is 
most common in the young, is of about equal frequency 
in both sexes, and occurs particularly during change of 
weather. On rare occasions it may almost become 
epidemic. 

This is an acute disease of definite duration (fourteen 
to twenty days). The patient ails for a few days, is fever- 
ish, out of sorts, complains of shivering, perhaps pain in 
the side ; presently patches of erythema appear and pre- 
sent a number of little white points, which quickly 
enlarge into bullulse, perhaps coalescing and forming dis- 
tinct bullse ; the vesicles are tense and contain clear seros- 
ity ; in four or -^yq days they become partially emptied 
and flaccid, the contents becoming turbid and dark ; at 
the same time the red blush fades and the patch scabs 
over. The crusts disappear in about ten days, leaving 
dark red stains. The changes are not completed at the 
same time over the whole area, and the eruption in its 
several stages may therefore be observed on different parts 
of the same person. In rare cases herpes zoster may 
ulcerate and soon become gangrenous. Pain may be a 
prominent symptom, lancinating, smarting, burning. Con- 
valescence is slow. (Fox.) 

Hebra thus describes the iiormal course of herpes 
zoster. 

1. The eruption appears, runs its course and leaves no 
scar. The first clusters of vesicles appear near the mu- 
cous centres, and the later ones toward the extremities of 
the nerves whose course they follow, 

6 



66 ms£:As:Es of the skin. 

2. The eruption is confined to one-half the body, and 
vesicles are formed on all the reddened patches. 

3. Painful sensations do not persist for any long period 
after the outbreak of the eruption. (This is denied by 
other observers of as high authority.) 

4. The vesicles contain transparent serum or a puriform 
fluid. 

The characteristics of an abnormal course are : 

1. Cases where clusters of eruption form no vesicles, but 
only papules (abortive zoster), or they run on into bullae 
or are converted into deep-seated pustules, leaving scars 
behind them. 

2. The eruption occurs symmetrically on both sides of 
the body ; or some clusters attain their proper develop- 
ment whilst others attain only to the stage of small points 
and then disappear. 

3. Considerable neuralgic pains are experienced before 
and during the eruption, which continue for a long time 
after the drying up of the eruption, sometimes with dis- 
turbances in the motor functions. 

4. The contents of the vesicles are mixed with blood and 
the immediate vicinity of the vesicles is infiltrated with 
blood. These cases are often attended with very severe 
pains. 

According to its location we find : Herpes zoster capil- 
Utiiy faciei, nuchcB, brachialis, pectoralis, abdominalis, femo- 
ralis. When affecting the ophthalmic nerve, it may greatly 
injure and even destroy the eyeball. There is severe pain 
and injection of the conjunctiva and cornea, and the move- 
ments of the iris are interfered w^ith. 

Hutchinson and Bowman consider it a peripheral neu- 
rosis in the ultimate ramifications of the sensory nerves, 
followed by a corresponding vesicular alteration. With 
this we have redness of the connective tissues, photopho- 
bia, a central softening and ulcers upon the cornea, or 
iritis. The first named writer found the eye affected only 



HERPES, 67 

when the eruption extended from the forehead to the 
nose. He also observed paralysis of the muscles of the eye 
supplied by the oculo-motor nerve. 

Baerensprung remarks that the ganglia spinalia give us 
the key to the explanation of the phenonema of herpes 
zoster. The neuralgia so frequently accompanying the 
eruption is to be explained by the transmission of irrita- 
tion and reflex action from the ganglion upon the corres- 
ponding posterior root. Zoster is therefore a disease of the 
ganglionic system, more especially of the spinal, ganglia or 
the ganglion Casserii ; although the peripheral irritation of 
a nerve which has ganglionic fibres may result in a limited 
eruption of zoster vesicles, and we must grant even the 
possibility of a purely reflex affection of the ganglion. 

As regards the anatomy of zoster, Biediadecki found that 
the papules and vesicles were formed in the same way as 
in eczema. When pustules form, the cell elements increase 
in the papillae and permeate the whole corium and a part 
of the subcutaneous cellular tissue. The papillary blood- 
vessels are enlarged and crowded with blood. From the 
papillse spindle-shaped cells push into the mucous layer, 
then subdivide, pushing apart the epitehlial cells as series 
of round cells. In the centre of the pustule there is con- 
siderable cell-proliferation, and collections of pus are 
formed in the mucous layer, in a netw^ork composed of the 
compressed and altered epithelial cells of the middle and 
upper mucous layer. The epithelium of the lower mucous 
layer takes part also in the process of subdivision, often 
mother-cells, holding several nuclei, lying above the 
flattened and cell-infiltrated corium, but here and there 
reaching into the network. Around and in the neuri- 
lemma there is evident cell-proliferation, similar to the 
proliferation in neuroma and carcinoma around the trunk. 
(Jeffries, p. 48.) Dr. Haight found the nerves swollen, 
the medullary substance softened, and the axis cylinder 
eccentrically enlarged. 



68 DISEASES OF THE SKIN. 

Treatment. Hebra, IsTeumann and others consider the 
expectant mode of treatment the most appropriate. All 
friction must be prevented by an appropriate bandage, 
and the spontaneous drying assisted by dusting the parts 
with starch. Painting the parts with collodion, and the 
application of poultices, with 01. Hyoscyami, often give 
relief. Ointments of cerate or glycerine are recommended 
by others. For the severe neuralgic pains, hypodermic 
injections of morphia are the ne plus ultra of the regular 
school. 

Kafka (II, 421) remarks that homoeopathic remedies 
fail to shorten the course of the different forms of 
acute herpes, but we may successfully combat the accom- 
panying symptoms. As zoster belongs to the class of dis- 
eases which frequently appear under the injluence of a 
sudden change of weather, as eczema and rheumatism, We 
can easily comprehend the beneficial action of Rhus fox., 
Merc, sol.^ Caustic.^ Hejpar^ Mezer.^ Arsen. Simultaneous 
gastric disturbances remind us of Nux vom.,. Pulsat.^ Sepia. 
Baehr relies chiefly on Mezer. or selects his remedy ac- 
cording to the neuralgic symptoms. Hughes is fully satis- 
fied with the results of Rhus tox. Wilkinson relieves the 
itching by the local application Canthar. lotion. Ranun- 
culus and Cistus may be suggested in addition to Rhus 
tox. and Arsen. for the removal of neuralgia. 

Russel {JB. J.ofH.^ X.) gives the following indications: 

For Herpes facialis : 

Arsenicum. Eed herpetic skin around the mouth ; erup- 
tion along the border of the vermilion borders of the 
lips. 

Belladonna. Small pimples on the lips, covered with a 
scurf and smarting as if they had been touched by saltish 
water ; pimple on the upper lip, tingling when not 
touched ; contact excites a stinging itching with it. 

Calcarea curb. Eruption of pimples around the mouth 



HERPES. 69 

and on the corners of the mouth ; scurfy pimple on the 
margin of the vermilion border of the lower lip. 

Ciciita virosa. Burning itching vesicle on the upper lip 
near the vermilion border. 

Dulcamara. Pimples and little ulcers around the mouth 
with tearing pains when moving the parts. 

Graphites. Eruption near the corner of the mouth, on 
the lip ; small white blotches on the upper lip ; thick-set, 
whitish pimples on a red base, and somewhat itching, 
near both corners of the mouth under the lips ; a vesicle 
on the upper lip with cutting pain. 

Hepar. Eruption in the corner of the mouth with a 
sensation of heat in that part ; red itching spot below the 
lower lip, which was soon covered with a number of yel- 
lowish vesicles, forming a scurf. 

Mercurius. Yellow crusts on the upper lip near the 
margin, with smarting and burning pain. 

Silicea, Eruption on the lips, vesicles on the upper lip, 
stinging when touched, causing a smarting pain ; pimple 
on the margin of the vermilion border of the upper lip, 
first itching, afterwards, when covered with a scab, merely 
smarting. 

For Herpes prceputialis or genitalium. 

Aurum. Itching of the scrotum. 

Dulcamara. Heat and itching of the genital organs ; 
herpetic eruption on the labia majora. 

Hepar. Itching of the penis and the frsenulum prse- 
putiale ; itching of the glans ; humid soreness in the fold 
between the thigh and the scrotum, with smarting pain, 
as if the parts were excoriated ; itching of the scrotum. 

Mercurius. Voluptuous itching on the surface and the 
interior of the prepuce; swelling of the prepuce with 
burning, smarting and redness, with cracks and rhagades 
on the internal surface, and a red fine eruption on the 
surface ; vesicles on the forepart and sides of the glans, 
penetrating into the part and spreading ; they discharge 



70 DISEASES OF THE SKIK 

a fluid and soon disappear ; burning around the glans in 
the evening, afterwards vesicles on the inner surface of 
the foreskin, which soon form little ulcers, healing rapidly ; 
a number of small red vesicles at the termination of the 
glans, behind the prepuce, changing to ulcers, which burn 
and discharge a yellowish-white, staining, strong-smelling 
matter. 

Phosphoric acid. Itching creeping in the frsenulum ; 
vesicles near the fraenulum, itching when pressing on it ; 
humid itching vesicles on the fraenulum, preceded by 
creeping. 

Sepia. The glans is hot and itching with soreness of 
the prepuce ; hot glans, with a pale-red sometimes itching 
eruption ; red tips on the glans ; swelling and humid 
itching eruption on the inner labia ; soreness and redness 
of the labia, in the perineum and postieriorly between the 
thighs. 

Silicea. Itching under the prepuce ; redness of the pre- 
puce near the corona, as if excoriated, with frequent itch- 
ing ; swelling of the prepuce with itching humid pimples 
on the outside ; itching and humid spot on the scrotum. 

Sulphur. Troublesome itching of the pudendum, with 
pimples all around ; painless vesicles on the outer parts of 
the pudendum. 

For Herpes phlyctenoides^ not confined to any special 
locality, but spread indiscriminately over various parts of 
the surface. 

Aconite. Large red itching pimples ; reddish pimples 
filled with an acrid fluid ; isolated pimples of the size of 
a pin's head and filled with a serous fluid, on various parts 
of the skin, and especially on the forehead, nape of the 
neck and on the face ; after a while the pimples dry and 
peel off; vesicular eruptions on both temples. 

Arsenicum. Herpes, having a red unwholesome appear- 
ance, with vesicles and violent burning, particularly at 
night (in the pit of the stomach and on the back). 



HERPES. 71 

Bovista. Goose-flesh ^ith violent itching; herpes after 
an itching over the whole hody, in the evening ; moist 
scurfy herpes-like red pimples. 

Gale. carh. Itching vesicular eruption over the whole 
body, especially the hips. 

Cantharis. Small itching vesicles between the chin and 
the lips, on the forehead and cheek ; on the palm of the 
hand. 

Clematis. Vesicular eruptions on the body ; herpetic 
eruptions. (More suitable for chronic constitutional her- 
pes.) 

Mercurius. Herpetic spots and suppurating pustules, 
which either run into one another, forming at times dry 
and scaly spots, at times discharging an acrid fluid, or 
which remain sore, become hollow, afterwards raised and 
cicatrized (all of which looks more like syphilis); new 
pustules springing up in the neighborhood ; herpes with 
burning when touched; dry, raised, burning, itching her- 
pes on the lower and upper limbs, wrist-joints, hands and 
between the fingers ; herpes surrounded by a border of 
large scabs, on the forearm and knee, discharging a good 
deal of moisture ; impetiginous herpes on the abdomen, 
thighs and knees. 

Phosphorus. Itching, large vesicles over the whole body, 
also on the face ; round herpetic spots over the whole body. 

Ranunculus sceler. Yesicles upon the skin, emitting a 
thin, acrid, yellowish ichor. 

Hhus tox. Small burning vesicles, with redness of the 
skin on the whole body except on the hairy scalp, the 
palms of the hands and soles of feet ; burning itching erup- 
tions, particularly on the scrotum, prepuce, eyelids and 
eyes (arms and loins), with swelling of the parts, and small 
yellowish vesicles which run into each other and become 
moist, the larger ones terminating in suppuration with 
red areolae, the smaller ones drying up more rapidly and 
scaling off in a few days ; confluent vesicles, most of them 



72 DISEASES OF THE SKIN. 

containing a milky or watery fluid, with peeling off of 
the skin in three days; pustules on the hands and fore- 
arms, which burst and emit a clear moisture; herpetic 
eruptions, alternating with pains in the chest and dysen- 
teric stools. 

Silicea. Eruption over the whole body, resembling, 
varicella, accompanied, preceded, and followed by violent 
itching. 

Sulphur. A scaly herpetic eruption which has been re- 
pelled by external means, appears again, itching violently 
and burning after scratching. 

The medicines most usefdl in Herpes zoster are 

Rhus tox.y Graphit., Mercur. and Pulsat. Rhus tox. is 
generally sufficient in itself to effect a cure, and even, we 
believe, to prevent the appearance of the eruption by 
curing the state of the nerves which may be regarded as 
the incipient stage of the disease. ]^or do we believe 
that the severe neuralgic pain,, which so frequently follows 
this affection, will often occur in cases treated by Rhus 
to:^. from the beginning of the attack. When Rhus tox. 
is not sufficient to accomplish the cure, and when there is 
much burning, insupportable pain, Graphit. is of great 
value ; Mercur. is recommended if there be much itching 
and a great tendency to suppuration. Pulsat. after or alter- 
nately with Mercur. when there is severe lancinating pain^ 

If there remain neuralgic pains after the disappearance 
of the eruption, Zincum met. may be given; but if the cure 
is not speedily affected, it will require great patience 
and strict individualization, and even then success is not 
always certain. (Rhus tox. and Graphit. are, in our experi- 
ence, the chief remedies, and we have hardly ever failed to 
make a perfect cure with them. The neuralgic pains re- 
maining after the removal of the zona may and often do 
require different remedies. Thus, for instance, we cured 
a case of facial neuralgia, coming to us at second hand 
after an attack of zoster, with Kalmia latifolia.) 



HERPES. 73 

Raue {Pathology., 611) mentions, among other remedies, 
Croton tig. for itching and painful burning and redness of 
the skin ; formation of vesicles and pustules ; dessiccation 
of the pustules and desquamation and falling off of the 
pustules. 

Euphorhium. Violent burning in the face ; red inflam- 
matory swelling of the cheeks, with boring, gnawing and 
digging from the gums to the ears, and itching and ting- 
ling in the cheeks. The cheeks are covered with a number 
of yellowish vesicles which burst and then emit a yellow- 
ish humor. 

Daj)hne mezereum. Obstinate itching over the whole 
body for several days. Hot dartings in various parts of 
the body. The pains are felt on one side only. Eed itch- 
ing rash on the arm, head and the whole body, rough and 
in clusters. 

Hale {New Remedies) TUQwtion^ Cistus, Cosmoline., Como- 
ciadia, Phytolacca, Rhus ven. and Sempervivurn ; but we 
fail to see the similitude in Cistus, Phytol. and Semper- 
vivum, which are more indicated in cases of constitutional 
herpes (the constitution dartreuse of the French). 

Gomocladia has the following symptoms : Violent itch- 
ing, redness and swelling of the face, hands and other 
parts of the body, followed by yellow vesication and des- 
quammation of the cuticle. Cosmoline will be valuable as 
topical application, as it removes the stinging, burning 
and itching. 

e. Herpes impetiginiformis. Hebra has seen but five 
cases of this rare eruption. They all appeared in women 
at full term, except in one case, which took place during 
the course of pregnancy. The first four terminated fatally. 
They all resembled one another in beginning in the region 
of the genitals, in their general diffusion over the body in 
the later stage and in the herpetic character (groups of 
vesicles on the same inflamed base) which they presented. 
They were all accompanied by fever and rigors. The 

7 



74 DISEASES OF THE SKIN. 

disease miglit be called herpes impetiginiformis from tlie 
appearance of the crusts. There was no restriction to the 
course of certain nerves as in an ordinary zoster. This ap- 
pears to be a very dangerous disease. (Fox, 204.) 

The treatment was mainly expectant, with nourishing 
diet. For the pysemic symptoms the patient who re- 
covered took quinine, and a lotion, composed of six grains 
of the perchloride of mercury and one part of limewater, 
was applied to the genitals ; as the pain prevented sleep- 
ing the woman took half-drachm doses of Chloral hydrate 
at night. After delivery she rapidly recovered. 

General Indications for Itemedies Useful in 
the Treatment of Herpes, 

(From the Lectures of Professor A. R. Morgan.) 

Apis. — Burning and stinging pains, with excessive 
swelling. Vesicles large and sometimes confluent. Erup- 
tion which comes out on the lips in cold weather. Cold 
sores (l^atr. mur. and Ehus tox.). They come on and 
sometimes ulcerate, with great burning and stinging pain. 
Aggravation. From warmth (Reverse, Arsen.). Amelio- 
ration. From cold applications of any kind (Reverse, 
Arsen.). 

Arsenicum. — Confluent herpetic eruptions, with intense 
burning of the blisters. Decided aggravation after mid- 
night; cannot sleep after midnight. Chronic dry skin 
(Staphis.). Nausea and marked prostration, aggravated 
by taking nourishment. Lassitude and weakness. In 
Herpes iris, when the eruption gets bloody and dark 
colored. Aggravation. From cold of any kind (Reverse, 
Apis). Amelioration. From warmth (Reverse, Apis). 

Borax. — Children inclined to aphthae, which bleed very 
easily and profusely. The secretions of the body are ex- 
coriating. Women inclined to aphthous diflB.culties. Char- 
acteristic. Sensations aggravated by going downward (Calc. 
carb.). 



HERPES. 75 

Calcarea carb. — Lymphatic temperaments. Burriing 
herpes. Chapped furfuraceous eruptions ; unhealthy skin, 
which ulcerates easify. Painful swelling of glands. Ob- 
stinate, self-willed children who incline to grow fat. 
Aggravation. In open air and from water. Amelioration. 
In a warm room. 

Cantharis. — Large, burning, painful blisters upon an 
erysipelatous base — burning when touched ; eruptions 
more on the right side ; smarting and stinging of the skin. 
Aggravation. In open air; from touch. 

Causticum. — Itching, burning, moist phagedenic vesicles, 
especially upon the shoulders and neck. Sore and cracked 
nipples, surrounded with herpes, with a tendency to 
ulceration. Stinging and itching of the skin. Herpes 
preputialis. Aggravation. In open air; by scratching. 
Amelioration. From heat. 

Clematis erect. — Gnawing sensation in the skin, not 
relieved by scratching. Scalp herpes with yellowish cor- 
rosive ichor. Chronic, red, humid herpes, with intolerable 
itching in the warmth of the bed and after, washing. 
Tendency towards rupture and ulceration of the vesicles. 
Aggravation. When the moon is increasing (eruption red 
and humid). From heat and washing. Amelioration. 
When the moon is decreasing (eruption dry and pale). 

Croton tig. — ^Vesicular eruptions, with burning, stinging 
and redness of the skin, and speedy developement of a 
seropurulent exudation. Feels hidebound (Grraphit., 
Alum., Baryt. carb., etc.). Vesicles, especially on abdomen, 
confluent and form large brown scabs. One of the best 
antidotes for poisoning with Hhus tox. (Anac). Aggra- 
vation. After eating. Amelioration. By gentle rubbing, 
(Thuya. Worse from rubbing, Anac.) ; after sleep. 

Dulcamara. — Herpes, moist suppurating ; oozing pale 
water when scratched ; red, with red areola, bleeding when 
scratched. Herpes zoster after taking cold. Thick crusts 
all over the body. Aggravation, In the evening ; in cold 



76 DISEASi:S OF THE SKIN. 

air ; during wet weather and wlien at rest. Amelioration. 
From gentle exercise in a warm room. 

Graphites. — Herpes in females witli scanty menses. 
Large blisters from the umbilicus to the dosum of the 
spine, burning when touched. Occurring especially on 
the left side. Herpes zoster. Aggravation. In doors ; 
from warmth and motion. Amelioration. Out of doors. 

Hepar sidph. — Particularly indicated after mercurial 
preparations. Herpes preputialis. Eruption exceedingl}^ 
sensitive to touch. Little ulcers surrounding the large 
one. Takes cold easily. Face, hands and prepuce are 
especially affected. Aggravation. At night, and from 
cold; exceedingly sensitive to cold air. Amelioration. 
From warmth. 

Iris versicolor. — Herpes which follow gastric derange- 
ment, with bitter taste in the mouth ; with nausea and 
vomiting ; pain in the liver. Herpes zoster on the right 
side of the body, with gastric derangement. 

Kali hich. — Herpes after taking cold, with fluent coryza 
and bronchial irritation. The expectoration is stringy 
and ropy. (The secretions and excretions all have this 
same ropy and stringy character.) The coryza at first is 
thin, but soon changes. The vesicles are large and are 
filled with a fluid of the same character as the expectora- 
tion. 

Kali carh. — Stitches in the eruption. Eruption moist 
after scratching. Dry skin with deficient perspiration 
(Graphit., Alum., etc.). Burning-itching herpes. Ag- 
gravation. From cold air ; from becoming cold. Ameliora- 
tion. In warm air ; on getting warm. 

Kalmia lat. — Sensation of rigidity of the skin, with 
a pricking sensation — {Neuralgia of the fifth pair of nerves 
of right side of face). Sensation as if the skin were para- 
lyzed. Aggravation. At night. 

Kreosotum. — Herpes, watery or seropurulent from the 
beginning, especially on the backs of hands and fingers 



HERPES. 77 

and joints, itching very violently towards evening. 
Herpes in the palms of the hands, on the ears, elbows, 
knuckles and malleoli. Seropurulent and furfuraceous 
eruption. Aggravation. In the evening (itching) ; in the 
open air. Amelioration. From warmth. 

Lachesis. — All kinds of herpetic eruptions. Vesicles 
large, of a yellow color usually. Frequently they are yel- 
low at first and then turn dark, with much pain. Yesicles 
break and leave an excoriated surface, which burns when 
touched. Eruptions which occur every spring and fall. 
Effects especially the left side of the body. Aggravation. 
All symptoms after sleep. From acids (Selen.). 

Ifercuriiis. — Herpes burning when touched. Moist 
vesicles surrounded by dry scales — easily bleeding. Per- 
spires very easily, from the least exertion ; no relief from 
perspiration. Lax fibre. Phagedenic blisters. Herpes 
preputialis. Zona — especially on the right side or when 
it extends across the abdomen. Aggravation. At night, 
from the warmth of the bed. Amelioration. In the 
raornincr, 

Mezereum. — ^^Herpes zoster, with severe neuralgic pains. 
Indicated after the abuse of mercury. The itching on 
being scratched changes to burning. Aggravation. In 
the eveninij; about 9 o'clock ; bg contact mid motion. Ame- 
lioration. By exercising in the open air. 

Moschus. — Hysterical subjects with tendency to faint ; 
violent sexual excitement with copious urine. Character- 
istics. Redness of right cheek without heat — the left pale 
and hot ; the same with the hands. Chilliness com- 
mencing at the head and extending down over the body. 
Menses too early and profuse. Great sensation of debility 
felt particularly during rest. Herpes with excessive 
burning. Aggravation. In cold air. Amelioration. In 
warm air. 

Natrum carb. — Herpes iris. Sensation of formication. 
Vesicles with shooting and itching pains. Hypochondria- 



78 DISEASES OF THE SKIN. 

cal, with aversion to society. Panaritium. "Warts and 
herpes about the hands. Aggravation. In the forenoon. 
Amelioration. By pressing gently the parts, or rubbing 
them. 

Natrum mur. — Herpes which occur during fevers. 
Herpes labiales. Herpes of bends of elbows and knees. 
Moist oozing eruptions. Aggravation. In the forenoon 
from 10 to 12. 

Petroleum. — Herpes especially on the genitals, moist, 
oozing and itching. Itching herpes on the perinseum. 
Aggravation. In open air (aversion to open air) ; when 
perspiring. Amelioration. From warmth and warm air. 

Phosphorus. — Herpes in persons inclined to pulmonary 
difficulties, with burning pain. Vesicles confluent and 
appear in clusters. Brown colored blisters between the 
fingers and toes. Dry herpes. Aggravation. In the even- 
ing, at night, before midnight (exceedingly sensitive to 
cold air.) Amelioration. After sleeping. 

Pulsatilla. — Mild subjects, pale, inclined to mucous dis- 
charges. Eruption itching and burning. Skin inflamed 
and swollen. Aggravation. In the evening and in a 
warm room. Amelioration. In the open air. 

Psorinum. — Herpes after suppressed scabies, moist ; in- 
tolerable itching when getting warm. Biting and itch- 
ing, worse when developed after some febrile aflection. 
Aggravation. Before midnight and in the open air. 

Panunculus bulb. — ^Vesicles of a dark blue color, resem- 
bling the blisters from a burn. Rheumatic subjects. 
Burning itching vesicles in clusters. Herpes over the fin- 
gers (blue) and palms of hands. Herpes on the whole 
body. Aggravation. In the evening ; the pains are excited 
by touch and motion ; after eating. 

Panunculus sceler. — Eruption filled with a thin, acrid, 
fluid, with sensations similar to those indicating Ranunc. 
bulb. 

Phus tox. — Pains, stinging and burning after scratching. 



HERPES, 79 

Everything tastes bitter. Herpes upon hairy parts — ^burn- 
ing and stinging (Apis, Arsen., and Phosphor.). Itching 
especially on hairy parts. Eruption more annoying after 
a perspiration ; comes on after taking cold or getting wet 
(Antim. crud.). Aggravation. After scratching, per- 
spiring and getting wet or cold. Amelioration. From 
warmth. 

Sepia. — Itching. Aggravated by scratching. Indicated 
especially in females. 

Silicia. — Eruption inclined to ulcerate. Sensation of 
numbness of the extremities ; they go to sleep easily. 
Genitals perspire and the sweat is offensive. Offensive 
perspiration on feet. Brittle nails. Aggravation. Erom 
cold. Amelioration. From wrapping up warm. 

Spongia tost. — Eruption coming on after a cold, with 
dry croupy cough. Persons with goitre. Appears especi- 
ally on the face. 

Sulphur. — Herpes, with great itching, with burning 
and soreness after scratching. Herpes appearing about 
the mouth and nose. Face pale and colorless. The lips 
are bright-red. Headache with a sensation of a band 
around the head (Mercur.) Aversion to water and open 
air. Aggravation. After scratching ; from washing (Ant. 
crud., etc.). 

Tellurium. — Herpes filled with a watery excoriating 
fluid, smelling like fish-brine. The vesicles are bluish or 
purple. Congestion to the head with faint sensation. 
Copious perspiration all over the affected parts. Eing 
worms all over the body. 

Thuya. — Herpes all over the body, from suppressed 
gonorrhoea ; itching and burning violently. Herpes zoster. 
Aggravation. From cold water ; from the heat of the bed ; 
in the evening and at night. Amelioration. From gentle 
rubbing ; from warm water. 

Zincum met. — Herpes, with violent lancinations. Sup- 
purating herpes. Violent itching. It<ihing in the bends 



80 DISEASES OF THE SKIN. 

of the joints. Aggravation. In the evening. Ameliora- 
tion. By touching the parts. 

I^einphigus. 

Wilson in his '•'■Lectures on Dermatology^^ (p. 123) 
remarks: If we analyze the pathological character of 
pemphigus, we shall discover it to be an erythema at- 
tended with serous effusion beneath the epidermis, the 
effused fluid raising the horny layer of the cuticle into a 
blister or bleb. This effused fluid is at first clear or yel- 
lowish, but afterwards becomes cloudy and purulent, 
while the surrounding skin is either normal in color or 
reddened. Eed lines frequently radiate from the bullne 
(lymphatic or capillary vessels). If we remove the epi- 
dermis, we at first find the corium exposed ; a little later 
in the disease new epidermis is formed, so that the con- 
tents of the bullse lie between two layers of epidermis. 
When the blebs are healed, a dark spot remains, more 
rarely a cicatrix. These blebs are usually grouped in 
threes or fours and attain the size varying between that 
of a pea and a hen's egg. The fluid may be quickly re- 
absorbed or the bullae simply shrivel, the distended globe 
becoming fluid, or the blebs burst and the fluid dries into 
crusts of lamellar aspect, beneath which is very slight 
ulceration. The bullae generally occur in successive crops ; 
they develop in the course of a few hours and are usually 
distinct. The reaction of the fluid is generally alkaline, 
but with turbidity comes acidity. The local symptoms 
are, slight itching and smarting at the outset and more or 
less soreness. The healing process is tardy and in cachec- 
tic subjects sloughing may occur. The disease attacks all 
parts of the body, but rarely the head, the palms of the 
hands or the soles of the feet. Sometimes the mucous 
surfaces, as of the intestines, vagina, mouth, etc., are the 
seat of bullae in pemphigus. 

When pemphigus is generalized^ the eruption is seen in 



PEMFHIGm. 81 

different stages of development on different parts of the 
body. At one part it is a reddened surface, where the 
cuticle is beginning to be wrinkled ; at another a bleb is 
formed ; at another the cuticle is exfoliating and leaves 
violet-colored stains or superficial excoriations or ulcera- 
tions, either bare or covered with crusts. 

Most authors divide Pemphigus into two groups. Acute 
and Chronic ; but Hebra states, that he never met acute 
jjemphigus ; for as it is seen in children (pemphigus neo- 
natorum) it should have received other names. Steffen 
( Wiener Med. Wochenschrift^ 1866), gives three forms : 1st, 
Pemphigus occurring in apparently healthy children and 
ending favorably. 2d, Pemphigus occurring in marasmic 
children. 3d, Syphilitic Pemphigus. Fox {Skin Diseases^ 
212) divides it in a syphilitic and non-syphilitic form. 
The former belongs to the congenital syphilitic diseases, 
and the letter is often the result of blood-poisoning, as 
from puerperal fever, dysentery, etc. 

Steffen's first class is not of a serious character. Blebs 
appear on the neek or chest, containing a pale fluid ; they 
rapidly increase in size and give rise to excoriations which 
are soon covered with a yellowish crust. Healing soon 
takes place and the child recovers. Far different appears 
the pemphigus in children in whom the eruption is the 
result of cachexia. Here apparently healthy children are 
seized with severe constitutional symptoms ; the skin is 
livid, the areolae of the buUse are dark, the contents fetid, 
the ulceration is unhealthy, deep, its surface is dark, 
blackish and exudes an ichorous matter, the edges being 
livid, shreddy, so that large circular, depressed, black, 
gangrenous ulcers, acutely produced, are present, the feet 
and hands may be affected, and the limbs, the genitals, 
the abdomen, even the mucous surfaces and head ; death 
occurring about the tenth or twelfth day. 

Stokes describes a Pemphigus gangrenosus among the 
ill-fed Irish children, with a purplish base of the bullae, 



82 DISEASES OF THE SKIN. 

sanguinolent contents, icliorous discharge, and a good 
deal of slougliing and gangrene, the disease being propa- 
gated by successive crops for weeks, and the children die 
worn out by irritative fever and exhaustion. 

Why Hebra denies to this infantile eruption the name 
of pemphigus is an enigma to us, for Wilson (1. c. 130) 
truly remarks that " Pemphigus (chronic) is a grave 
and serious affection, an associate of cachexia, always a 
symptom of a depressed vitality of the organism, and not 
infrequently the sign of a fatal state of disorder of the 
economy." The transparency, the bright color and the 
benignant purulency of the bullae of pemphigus are always 
grateful to our eye as being of good omen. But the pur- 
plish and purple and leaden-colored tints are less satis- 
factory. Sometimes the fluid of the bleb may be reddened 
by the admixture of blood, the result of accidental pres- 
sure or friction, but it may be also the consequence of 
hfematolysis, which betokens a state of cachexia in a more 
or less advanced degree. 

Chronic Pemphigus is characterized by the great length 
of time during which new eruptions of bullae appear, 
which lower the vitality and finally induce death by ex- 
haustion (Neumann, 191). 

Hardy and others describe two varieties of chronic pem- 
phigus, namely pruriginous and foliaceous. In the former 
affection the skin presents small blebs, the volume of 
which seldom exceeds that of a pea, containing sometimes 
serum or pus. The eruption is attended with most dis- 
tressing itching, so severe as to prevent sleep. Patients 
scratch furiously and leave the marks of their nails in the 
form of long excoriations and black points, and the skin 
turns to a brownish hue by an increased production oi 
pigment. 

Pemphigus foliaceus commences on the front of the chest 
by a single bleb, and then, by the development of others 
around, spreads over the whole surface, the bullae being 



PEMPHIGUS. 83 

more or less imperfectly formed ; the skin is red in many 
places, but there is not much infiltration, nor is itching 
severe. After the bullse form, large yellowish squamse 
are produced, with more or less desquamation ; the scales, 
which may be large, are the remains of imperfectly formed 
bullae ; they are free at their margin and they are repro- 
duced very rapidly. The bullae are successive and con- 
fluent. Oftentimes the skin exhales an offensive odor. The 
scales resemble fragments of parchment, and vary in size 
from three-quarters of an inch to two inches. ]^o part of 
the body is free from them, and they are so freely pro- 
duced that they fill the patients bed in a few hours. 
Under them (Hillier, 147) is found a red surface, slightly 
ulcerated, from which flows in small quantities a secretion 
slightly plastic, having a nauseous fetid odor. This is 
often a fatal form of disease, death being ushered in by 
the irritation of the mucous surface and dropsy, especially 
in old people who are weak and out of health. 

Diagnosis. One of the most distinctive features of 
pemphigus is the absence of exudation into the cutis, so 
that there is no elevation except what is caused by the 
fluid, which detaches the cuticle. From herpes iris it 
differs in this that that disease passes away without 
returning, whereas even in acute pemphigus new acces- 
sions of bullae are continually formed. Pemphigus folia- 
ceus closely resembles pityriasis rubra, but the formation 
of blebs and the copious discharge distinguish the former 
from the latter. 

Prognosis. Single bullae recurring only after a long 
interval are never dangerous to the patient. If their 
number greatly increase and their contents rapidly decom- 
pose, lymphangitis is set up in the neighborhood, the 
patient is weakened, pyaemia ensues, or pneumonia, neph- 
ritis or pyelitis and the prognosis becomes unfavorable 
(i^eumann). In all cases the cure is slow and recurrence 
of the disease frequent. The general condition of the 



84 DISEASES OF THE SKIN. 

patient must be our guide, and a cautious opinion should 
always be given. 

Therapeutics. E'eumann considers quinine of all inter- 
nal remedies alone worth mentioning. The local treat- 
ment consists in the use of baths, douches, enveloping the 
body in wet clothes, painting the skin with tar, and tar- 
baths, covering the skin with various ointments and dust- 
ing the surface with starch or semen Lycopodii. — Bazin 
recommends puncturing of the bullse, in order to diminish 
the irritation, and then to treat them as ordinary blisters, 
and dust them with emollient or slightly astringent 
powders. — Hebra reports no benefit from internal reme- 
dies. With continued baths, ^. ^., the patient kept under 
water night and day, he obtained an apparent permanent 
cure, after respectively one hundred, seventy-six, forty- 
seven and twenty-six days' immerson. — Fox treats acute 
pemphigus as a typhoid disease and praises chlorate of 
potash and quinine with wine in children. — Stokes advises 
an ointment of scrofularia nodosa in the gangrenous form. 
In chronic pemphigus plenty of good animal food, a due 
attention to elimination, with the mineral acids and cod 
liver oil may improve the state of health. In the ]Dru- 
riginous variety Conium, Aconite, or Quinine internally, 
with alkaline baths. A very good application to cool and 
comfort the surface is a mixture of common whiting, gly- 
cerine and water, made into a thinnish paste and spread 
over the surface by means of a brush. 

Kafka and B?ehr affirm that we do not possess any 
simile for pemphigus. The former even considers inter- 
nal medication unnecessary, and the latter truly remarks 
that the symptoms of the cochexia indicate the remedy. 
Laches., Arsen., Ginchon., Fernun, and Sulphur may be 
consulted as constitutional remedies. 

Raue considers pemphigus neonatorum a symptom of 
hereditary or congenital syphilis, and regards anti-syphi- 
litic treatment therefore as necessary. For chronic pern- 



PEMPHIGUS. 85 

phigus he recommends Arsen., Canthar., Caustic.^ Cinchon., 
Kreos., Laches., Mercur., Eanunc. bulb., Rhus tox., and 
Sulphur. 

Hughes {Manual of Therapeutics, 465) says : Pemphigus, 
when recent, may be cured by JRhus tox., as I can testify. 
When chronic, there is such a body of evidence in favor 
of Arsen. being specific, that it would seem loss of time to 
give any other medicine. 

Eussel {Skin Diseases, 91) gives two important direc- 
tions in regard to treatment, viz., the patient should be 
allowed full diet, to impart vigor to the system, as defi- 
ciency of vital force seems to be one of the chief pre- 
disposing causes of the complaint ; and secondly, it is of 
great consequence to support the blisters, and thus to pre- 
vent the premature discharge of their contents, for they 
possess irritating properties and tend to aggravate and 
extend the disease if allowed to flow over the skin ; 
besides, too early rupture of the cuticle exposes the raw 
skin beneath to the injurious effects of friction. Indeed it 
is better when the blisters do not burst at all, but dry up. 

Rayer strongly recommends the use of a perforated 
patch of rag, spread with simple ointment, to afford sup- 
port to the margin of the vesicle where it is most likely 
to give way, and to diminish its elevation above the sur- 
rounding skin, so as to lessen the risk of the upper part 
being rubbed off by the unavoidable friction to which it 
must be exposed. 

Specific remedies may be : 

Belladonna. — Watery vesicles (on the palm of the hand 
and tibia), so painful that he would like to scream. 

Causticiim. — Large vesicles on the chest and back, with 
anguish in the chest (orthopncea), and fever, consisting of 
chilliness, heat and sweat ; large painful blisters on the 
left side of the chest and back, which burst ; these symp- 
toms are accompanied by great feverish heat, sweat and 
anxiety. 



86 DISEASES OF THE SKIN, 

Fhosjphorus. — Painful hard blisters in various parts, not 
itching ; blisters bursting with moisture. 

Rhus tox. — " Confluent vesicles ; most of them contain- 
ing a milky or watery fluid, with peeling ofl' of the skin 
in three days." 

Eggert {A. J. H. M, M., 3, 138) publishes the case of a 
girl of feeble constitution and phlegmatic temperament, 
where Lachesis^° removed the tonsillitis, but there appeared 
a pemphigus on the thumb of the left hand and one on 
the third finger which caused terrible burning pain. The 
blisters were small, situated upon a highly inflamed base. 
Lycop.^'' in water, a teaspoonful every four hours, in three 
days well. 

Dr. Small {U, S. M. ^ S, J. YII., 293) cured with 
Bryon.^ in five days a case of pemphigus from sudden 
check of perspiration. 

We take the two last cases from our journals, but we 
question the propriety of calling these blisters pemphigus, 
as we miss the essential constitutional symptoms men- 
tioned by our best dermatologists as characteristic of the 
eruption. In fact we consider the constitutional symp- 
toms of far more value than the local ones; and it is 
therefore easily understood why it takes such deeply 
penetrating remedies, as Arsen., Caustic, Laches., Rhus 
tox. or venen. to have any influence on the disease. 

Mupia. 

Eupia is classed with pemphigus under the order bullae 
by a few authorities, but Hebra, I^eumann, Fox, Wilson 
and others consider it a syphilitic eruption, and we place 
it, therefore, under the chapter embracing that class of 
diseases. 



IMPETIGO. 87 

V. PUSTULAR DISEASES OF THE SKIN. 

We include under pustular diseases only tliose in whicli 
the presence of pus is a primary or essential condition^ the 
particular morbid condition of which we have to recog- 
nize and to remedy. I^eumann (1. c. 44) defines pustules 
^' as elevations of the epidermis, occasioned by collections 
of pus beneath it. The collections of pus originate either 
in the glands of the skin (acne), or on the substance of 
the corium (furunculus), or on the papillary layer (im- 
petigo), or finally between the mucous and horny layer 
(small-pox)." 

Pustules are of various size. If they are the size of a 
lentil or over and have elevated edges, and the contents 
dry to crusts, it is called impetigo (psydracion, cold pus- 
tule) ; they are simple vesicles produced on the surface of 
the skin and deriving their purulent contents from the 
cells of the rete mucosum, and when they dry and fall 
off, they leave behind them no mark on the skin, no trace 
of their previous existence. If they are larger, showing 
a circular periphery, the purulent contents at the same 
time being mixed with blood and the crusts thereby of 
a dark-brown color, it is designated ecthyma (phlyzacion, 
hot pustule). They are always more deeply seated, origi- 
nating in the walls of a follicle, sinking deeply into the 
corium and deriving their pus from the connective and 
other tissues of the substance of the skin. Hence it is 
slower in its progress, more permanent and more lasting, 
and when the scab falls off, in a longer or shorter time, it 
leaves behind it a pit and a cicatrix of lasting endurance. 

Impetigo, 

Impetigo is a superficial pustulating and non-ulcerating 
affection, and most authors agree in regarding it as a pus- 
tular eczema — an eczema occurring in a pyogenic habit of 
body and described therefore as eczema impetiginoides and 



88 DISEASES OF THE SKIN. 

as impetigo eczematodes. It is true, that variously sized 
pustules may form during processes of inflammation result- 
ing from injuries, burns, chemical or otherwise, cutaneous 
poisons, etc., but it cannot be denied that we frequently 
find impetigo in scrofulous subjects, in whom there is 
great vulnerability of the skin, so that any little irritation 
or wound of the skin at once begins to fester. It is 
always a secondary morbid product, appearing either as 
a sequel of other cutaneous diseases or accompanying 
other morbid products. Some authorities justly discard 
impetigo or classify it with ecthyma, as the treatment is 
the same. Impetigo as seen in children, and by some con- 
sidered as an independent disease, can still be only con- 
sidered as an offshoot of a scrofulous constitution ; and 
impetigo Jigurata (when the pustules are arranged in cir- 
cular or oval groups), im2')etigo sparsa (where the j)ustules 
occur singly without any regular distribution), impetigo 
erysipclatodes (where the surrounding skin shows all the 
local and constitutional symptoms of erysipelas), impetigo 
sycosiformis (crusta lactea of others), and impetigo capitis 
are sub-divisions insisted upon by some dermatologists, 
but which may be safely omitted in our nomenclature of 
skin diseases. 

Tilbury Fox (1. c. 224) describes an impetigo contagiosa 
as very frequent in England, and Wilson and Anderson 
confirm the observation. The disease is seen especially 
in hospital and dispensary practice amongst children of 
the lower orders ; but it also occurs in those who have 
all the advantages of social position and good hygiene. 
Smart pyrexia frequently accompanies the development 
of the disease. The eruption mostly appears first of all 
on the face, sometimes on the top or back of the head, in 
the form of vesicles, which enlarge into flat bullfe if not 
injured by scratching. Sometimes the hands are first 
attacked and the disease then extends to other parts ot 
the body. The vesicles are always isolated, and in five or 



IMPETIGO. 89 

six days the vesico-pnstnle reaches the size of a silver 
quarter of a dollar, unless ruptured. The secretion con- 
sists of lymph-like fluid, granular cells and subsequently 
pus- cells. The scabs are flat, straw-colored, dry and granu- 
lar looking, and appear as if " stuck on" to the part : if 
removed, little sores are observed beneath, more or less 
filled in by gummy-like secretion or a little pellet of 
aplastic lymph, and when the scabs fall ofl" there is an 
erythematous base left behind, the hue of which gradually 
fades away. The disease may spread from spot to spot by 
direct inoculation from its secretion, in the act of scratch- 
ing. The mucous membrane of the eye and the nose are 
sometimes implicated. Many children in a house may be 
attacked by contagious impetigo at one and the same 
time, or consecutively. The disease is not parasttic^ as 
Kaposi and Pifflird assert, and though fungus elements 
may be detected in the crusts, they are never found in the 
fluid contained in the vesico-pustule before it bursts. The 
natural course of the disease is a short and definite one. 

Treatment. To destroy the activity of the pus and to 
alter the condition and action of the surface which se- 
cretes it, Fox uses an ointment containing ^yq grains of 
Ammonio-chloride of Mercury and applies it to the surface 
beneath the scabs, which are removed by poulticing or 
fomentation with warm water. 

Kafka (/. c. 11., 469) advises puncture of the pustules 
as quickly as possible, in order to evacuate the pus and 
thus to prevent its injurious consequences to the sur- 
rounding tissues. "We have to remove the irritation which 
caused the eruption. For pustular eruptions may be 
recommended pro re nata : Ant. tart.. Hep. suljjh., Calc. 
carb., Merc. sol. and prsecip. rubr., Eellad., Jod., Ehus 
tox., and in obstinate cases, Arsen. and Silic. 

Bfehr Q. c, II., 525) recommends, in children, when the 
face or the scalp is attacked, Jlercur., as long as there is 
redness around the eruption. Hepar sometimes cuts the 

8 



90 DISEASES OF THE SKIN. 

disease short. When the aifection is more chronic, Ant. 
crud., Lycop., Arsen., Calc. carb., ISTitr. ac, Clematis, 
Lycop. and Stajphys. suit for impetigo of the lower ex- 
tremities (where, according to Heitzmann, it is fre- 
quent and obstinate on account of the frequent motions 
of the limbs, and gives rise to ulcerations resembling those 
described as varicose ulcers). Sulphur, according to Hart- 
mann, will only act favorably in impetigo if given in not 
too small a dose. Graphit. shows many characteristic 
symptoms. IJ/ur. ac. in impetigo of old people on the 
lower extremities, with burning pains. Conium, Carb. 
veg. and Sepia also deserve to be mentioned. 

Teste {Diseases of Children, 196) gives Didcam. twice in 
the forenoon and Clemat once in the evening. Silic, will 
be necessary in the case of lancinating, very intense itch- 
ing pains, and where there is an abundant suppuration. 

Hughes (1. c, 464) : Viola trie, in recent cases of the 
simple kind ; Ant. tari. for impetigo erysipelatodes ; Ant. 
crud. and Kali bich. for chronic impetigo. He also speaks 
favorably of Arsen. and Conium. 

Hale : Alnus : Scrofulous and cutaneous eruptions ; dis- 
eases of mucous membranes, which arise from or alternate 
with eruptions of the skin; Ars. jod., Carb. ac, Carb. 
sulph., Juglans. There is, however, still too much gen- 
eralization in the " New Remedies ;" we need more char- 
acteristics and closer individualization. 

Russel {I. c.,126): Arsen. Pustular eruptions on the 
head, the temples and between the eyebrows, causing 
painful itching as from a sore; eruptions principally about 
the lips and nose ; pustules on various parts of the body, 
which cause burning pain and great anxiety. 

Calc. carb. Eruptions on the hairy scalp, with glandu- 
lar swellings of the neck. Scrofulosis. 

Cic. vir. Extensive suppurating eruptions on the hairy 
scalp or in the face, with yellow scurfs and burning 
pains. 



IMPETIGO. 91 

Graphit. Humid eruption at the top of tlie head, pain- 
ful to the touch ; small pustules on the chin and chest. 

Hejpar sidph. Humid scald head. 

Kali hich. During the first week a profuse yellow 
scabhy eruption over the upper lip. 

Mercur. Humid eruption on the hairy scalp, eating 
away the hair, with painful pressure, especially at the sore 
places ; pustules on the upper and lower limbs, the tips of 
which are filled with pus, and itch ; impetigo on the 
abdomen, thighs and knees. 

Nitr. ae. Scurfy, humid, itchy eruption on the hairy 
scalp. 

Rhus tox. Burning, itching eruptions, particularly on 
the scrotum, prepuce, eyelids and eyes, arms and loins, 
with swelling of the parts, and small yellowish vesicles 
which run into each other and become moist, the larger 
ones terminating in suppuration, with red areolae, the 
smaller ones drying up more rapidly and scaling off in a 
few days. 

Sepia. Small itching pustules on the occiput towards 
the nape of the neck, forming into ulcers the size of an 
inch, with rough crusts, under which the secretion con- 
tinues for a long time. 

Staphis. A number of itchy scabs on the hairy scalp ; 
humid scabs with bad smell. 

Sulphur. Pustules, containing thick pus ; forming yel- 
low crusts and itching ; crusta lactea. 

E. Blake (£. J. of H., XXY., 119) gives the following 
indications : — Itching pustules, Croton tigl. ; burning itch- 
ing. Kali hich. Antimony is the pustular remedy par 
excellence. Impetigo capitis is best treated by Conium ; 
or where there are glandular complications by Dulcam. 
Impetigo faciei, Dulcam. Strumous impetigo, Hepar. 

Gr. W. Richards cured a case of impetigo figurata with 
Viola trie, a dose four times a day. Strumous constitu- 



92 DISEASES OF THE SKIN. 

tion, pustular eruption on whole upper lip and chin ; a 
thick, yellow, friable semi-transparent incrustation covered 
the part. (JT. W., VII., 260.) 

General Indications for JReinedles Useful in 
the Treatment of linpetUfo, 

(From the Lectures of Professor A, R. Morgan.) 

Antimonium crud. — Eruption forming thick heavy yel- 
low crusts, with burning ; crusts granular, like honey ; 
eruption about the face. Aggravation. From bathing the 
parts. Amelioration. In the open air. 

Antimonium tart. — Pustules with red areola. Nausea; 
gastric derangement. (See Ecthyma.) 

Arsenicum. — Black pustules filled with black blood and 
pus of a fetid smell. A painful sensation on scalp and 
face as from cutaneous ulceration. Aggravation. From 
cold and touch. Amelioration. From warmth. 

Baryta carh. — Especially old people. Thick crusts be- 
hind the ears. Shy persons. Fat, dumpy children, with 
swollen lymphatics. Sore throat, w^th swelling of the ton- 
sils after the least cold. Aggravation. At night and when 
thinking of the disease. Amelioration. When walking 
in the open air. 

Calcarea carb. — Especially during dentition. Dry crusts ; 
sweat on forehead particularly in the evening. Sensi- 
tiveness of the roots of the hair. 

Cicuta vir. — Impetigo sparsa. Eruption on chin and 
lower part of face, forming thick yellow crusts. Honey- 
like crusts, which fall off and leave a bright red smooth 
surface ; painful eruption on the scalp — non-inflammatory 
eruption. The eruption on the head and behind the ears 
burns and itches. 

Clematis erecta. — Especially after abuse of mercury — in 
psoric constitutions. Pimples on forehead, root of nose 
and sides of nose. Pustular eruption about the lips, ten- 
der to touch. Large pustules about the loins. Eruption 



IMPETIGO. 93 

changes its character during the changes of the moon. 
Aggravation. By the heat of bed, washing, and from 
3 to 5 A.M. Feels exhausted on waking. 

Coniitm mac. — Sero-purulent eruption in aged people — 
old maids with hypochondriacal humor. Vertigo when 
turning over in bed, looking up, etc. Old men, weak and 
feeble. Scrofulosis, with engorgement of the lymphatics. 
Sero-purulent eruption especially on the mons veneris. 

Croton tig. — Pustular eruption upon an inflamed base, 
with itching and stinging pain. Eruption upon the sep- 
tum of the nose, plugging the nostril. Eruption on belly. 
Pustular eruption on nipple. Sore nipples of nursing 
women. 

Graphites. — Scabby eruption with excessive oozing. 
Eruption around mouth and nose, in the whiskers. The 
hair falls out. Corrosive blisters about the extremities, 
toes and fingers. Dry skin, very sensitive to cold. Cold 
hands and feet in females with scanty menses. 

Hepar sidph. — Characteristics. Eruption after abuse of 
mercury. Sensitive to touch ; tendency towards ulcera- 
tion. Humid scabs and pustules upon the head, oozing a 
substance with fetid smell ; swollen cervical glands. 
Cracks behind the ears — hands cracked and dry. 

Kali hich. — Dry eruption. Pustules which go away 
without bursting. 

Iris vers. — Impetigo capitis with gastric complaints, — • 
nausea and vomiting. 

Kreosotum. — Pustular eruption, without pain, all over 
the body, especially on chin and cheeks. Sticking pains 
especially in points. Sad and weeping. Aggravation. In 
open air. Amelioration. In warm room. 

Lycopodiurii — After abuse of mercury. Itching and 
suppurating eruption on head and face, full of deep cracks. 
Abundant and fetid discharge. Fetid and moist scabs 
behind the ears. Humid tinea capitis. 

Mercurius. — Swelling and suppuration of glands. Gas- 



94 DISEASES OF THE SKIN. 

trie derangement ; rnoist scabs with excoriation of the 
scalp and destruction of the hair. Yellowish scabs on 
face, with discharge of fetid humor. Yellowish scabs 
especially around the mouth. 

Nitric acid. — After abuse of mercury. Eruption on 
head ; pricking on being touched. Pustular eruption on 
face, with large red margin and heavy scabs. 

Rhus iox. — Small pustules on black base. Greenish pus 
with violent itching at night. Humid eruption with 
thick scabs on face and head, destroying the hair, with 
fetid smell. Eruption on nose, extending to face. 

Silicia. — Eruption resembling varicella. Violent itch- 
ing of the scalp ; moist scald head. Growing pains. 
Aggravation. Erom. cold. Amelioration. Erom warmth. 

Sulphur. — Dry, thick, yellow scabs on scalp, attended 
with profuse discharge. Great itching relieved by scratch- 
ing. Purulent eruption on elbows. 

Thuya. — Eruption all over the body ; itching and shoot- 
ing especially at night. Pustular eruption about the 
knees. Amelioration. From gentle rubbing. 

Yiola tricol. — Pustules and scabs upon face, with burn- 
ing and itching, and discharging a fetid pus ; sensation as 
of tension of the integument of the face. The urine 
smells like the urine of cats. Aggravation. At night. 



JEcthyma. 

Ecthyma is the true pustule of the skin, and is variously 
modified by the constitution and age of the patient. It 
is essentially a disease of debility, of a low state of tone 
of the system, and consists of isolated phlyzacious pus- 
tules — viz., those which are " large, raised on a hard base, 
of a vivid red color, and succeeded by thick, hard, dark- 
colored scabs, beneath which there is ulceration." The 
shoulders, buttocks, and limbs are the parts usually at- 
tacked. The seat of the disease appears to be the u]3per- 



ECTHYMA. 95 

most layer of the derma, not unlikely about the glands 
of the skin. The depth of surface involved is less than in 
furuncle, and there is no core. The tendency to ulcera- 
tion and sloughing, the lividity of the inflammatory 
areola, the disturbance of the general system, all point to 
a cachectic condition. Hebra, I^eumann, Kafka and 
others consider them as abscesses in cachectic persons and 
surgery as the remedy. 

The primary exciting cause is, emphatically, scratching, 
the secondary or predisposing causes, such as lead to 
debility and an impoverished state of the blood. 

The anatomical seat of ecthyma is said by Simon to be 
between the cutis and cuticle, and not in an enlaro^ed fol- 
licle. The central depression may be due to an early dry- 
ing up of the cuticle at the point where the formation of 
the pustule begins, and so jS.rm a union of it with the 
cutis that the cuticle and cutis cannot be separated at this 
spot by the accumulated pus. In these cases the epider- 
mis near the central depression has usually a brownish or 
yellow color. 

Acute ecthyma commences with slight fever and occa- 
sionally sore throat ; locally there is at first a sense of 
heat and burning, and then the pustule runs its course 
through the different stages. The disease may be pro- 
tracted by successive crops of pustules or it may relapse 
into a chronic state. When, as is more commonly the 
case, its outbreak and course are tediously prolonged for 
weeks and even months, it is called ecthyma chronicum. 
A form of the eruption met with in ill-fed and ill-treated 
children, has been designated ecthyma infantilis. The divi- 
sions into ecthyma luridum, cachecticum, gangrenosum, 
may be striken out as of no practical value w^hatever. 

The prognosis is to be made according to the general 
condition of the patient. The ecthyma of itself is of 
little importance, save when it is accompanied by slough- 
ing, as in old people. 



96 DISEASES OF THE SKIN. 

Ti^eatrnent. In our treatment we must recollect that 
ecthyma is a cachectic disease, and we must endeavor to 
regulate digestion and elimination, and at the same time 
or immediately after do all in our power to restore the 
healthy tone and vigor of the organism. 

Locally Wilson recommends lotions of lime-water and 
oxide of zinc, or the benzoated ointment of zinc. Where 
ulceration is established, the unguentum resinse will be 
required, or solutions of carbolic acid, nitrate of silver or 
chloride of zinc. 

Fox remarks, that no two cases of ecthyma are exactly 
alike, and the special knowledge of the physician is often 
needed to detect some flaw in the performance of the 
organic function, which mainly determines the occurrence 
of the disease. 

Baehr (II., 527): Ecthyma for itself, as long as there 
are no malignant manifestations, needs no medical treat- 
ment. Our best remedy for pustular diseases is Ant. 
tart., as long as the disease does not take on a chronic 
state, and is far preferable to Mercur. Arsen.., Staj^his. and 
perhaps Lycop. may be thought of on account of the suc- 
cessive crops. Our aim must be to treat the constitu- 
tional ailment, as the eruption is only a solitary symp- 
tom, without neglecting to take good care of the skin. 

Russel (128) mentions: Arsen. Pulse 110 ; white pus- 
tules, some isolated, the greater part confluent, on the 
forehead, round the eyes, cheeks, arms, shoulders and 
upper part of the chest ; they terminate in thick crusts 
and leave well-marked scars. 

Kali hich. Eruption of red round spots on the back, 
arms and abdomen ; the spots form pustules the size of a 
pea, covered with a scab, which came oft^ in a few days 
and left a small dry ulcer, which healed up in about a 
fortnight, leaving a colorless depressed cicatrix. 

Mercur. Suppurating pustules, which either run into 
one another, discharging an acid humor, or which remain 



ECTHYMA. 97 

sore, become hollow and afterwards raised and cicatrized ; 
new pustules spring up in the neighborhood. 

Tart. emet. Large, round, full, burning pustules, with 
red areolae, forming in two days and leaving deep scars; 
pustulous eruption, the pustules filling with pus, drying 
up in a few days, and sometimes leaving deeply penetrating 
malignant ulcers. 

General Indications for Remedies Useful in 

the Treatment of Ecthyma. 

(From the Lectures of Professor A. R. Morgan.) 

Antimonimn crud. — -Yellowish or brownish scabs on the 
face ; apt to occur on fat people ; bitter taste in the mouth. 
Longing for acids ; loss of appetite ; nausea. Character- 
istic. Tlie air which he inhales feels cold to the nose. 
Aggravation. From bathing the part. Amelioration. 
From open air. 

Antimonimn tart. — Pustules with red areola, which 
leave large scars behind. Crusts brown. Eruption very 
painful. Decided drowsiness, with nausea ; longing for 
acids, with aversion to milk. The eructation tastes like 
sulphur. Severe colic pains ; short breathing and rattling 
respiration. Don't like to be touched. Aggravation. In 
the evening and by sitting or standing and by bending 
forward Amelioration. In the open cold air. 

Arsenicum. — Red pustules with intense burning. Severe 
ulceration ; painful black pustules, gnawing, burning and 
itching. Black eruption on the scalp. Aggravation. From 
cold. Amelioration. From warmth. 

Belladoyina. — Pustules surrounded by a whitish areola, 
with an erysipelatous inflammation of the skin ; burning 
and itching with great sensibility to touch. Aggravation, 
From touching the parts ever so softly. 

Cicitta vir. — Burning suppurating eruption occurring 
about the face, with yellowish crusts. 



98 DISEASES OF THE SKIN. 

Croton tig. — Pustules confluent, oozing, and forming 
greyish brown crusts especially on the abdomen. Burn- 
ing all over the surface of the body. Aggravation. After 
stool and after eating and drinking. Amelioration. After 
sleep. 

Kali hick. — Pustules all over the body — in the early 
stag-e ha vino; a small brown scab on the summit. Pus- 
tules at the roots of nails, spreading over the hand. Pus- 
tules resembling small-pox, with a hair in the middle ; 
comes on especially in summer ; in light haired persons. 
Characteristic. Sensation as of a hair at the root of tono-ue, 
which is not relieved by swallowing or eating. Aggrava- 
tion. During summer. Amelioration. From heat. 

Krcosotum. — Large fat greasy pustules, with violent 
itchino' towards evenins^. Sensation in the skin as if 
from ulceration. Ulceration on face and chin. Aggrava- 
tion. During repose. 

Nitric acid. — "When touching the pustules they feel as 
if a splinter was sticking in them. 

Mercurius. — Pustules bleed easily — painful to touch. 

Petroleum. — Itching and burning pustules, with great 
weakness on exertion ; great lassitude. Aggravation. 
From exposure to open air. Amelioration. From warmth 
and warm air. 

Pulsatilla. — Eruption better in open air and worse in a 
warm room. 

Rhus tox. — Pustules upon a red base ; black pustules, 
forming hard scabs, with burning and itching. Aggrava- 
tion. In cold weather. 

Secale corn. — In scrawny people with rough skin, especi- 
ally females ; black pUstules with tendency towards gan- 
grene. Aggravation. In warmth. Amelioration. In cold. 

Silicia. — All over the body — and especially on the back 
part of the head — sensitive to contact. Burning and sore- 
ness after scratching. Characteristic. Aversion to warm 
food. Aggravation. In cold. Amelioration. From warmth. 



FUR UNCUL OUS A FFECTIONS. 99 

Sidjphir. — Dry thick yellowish scabs all over the body, 
especially on the scalp, always attended with great itch- 
ing, painful to touch. Stooping figure ; dry skin. Aver- 
sion to washing. Aggravation. From washing, from 
touch, and on getting warm in bed. Amelioration. From 
warmth. 

Thuya. — Suppurating pustules, especially on lower ex- 
tremeties. Aggravation. From touch. Amelioration. 
From gentle rubbing. 

Farimculoiis Affections. 

Wilson (l. c, 145) puts furunculous aifections, impetigo 
and ecthyma under one head. E'eumann devotes a special 
chapter to them under the title of phlegmonous inflamma- 
tion. Fox follows Wilson. Hillier agrees with I^eumann, 
but calls them gangrenous inflammation ; and thus ad in- 
finitum. It is certain that they are far more than a mere 
pustule, if its definition : " an elevation of skin produced 
by a collection of pus," be correct. Wilson shows that their 
principal morbid characters, are a deeper implantation 
within the skin, a more advanced development in the 
nature of the inflammatory product, and, beyond the pyo- 
genesis, a tendency to gangrene and sometimes to ulcera- 
tion. They differ from impetigo and ecthyma in being 
deeper, and by their pustules containing in the centre a 
dead piece of tissue which is called the core. When the 
boil contains several cores and the cellular tissue is much 
involved and more or less sloughy, then a carbuncle exists. 

There are two kinds of furuncles, follicular furuncle 
and cellular tissue furuncle. 

A follicular boil is a circumscribed inflammatory infil- 
tration, having: its orio-in in a hair-follicle or sebaceous 
gland, which is distinguished by its hard consistence, deep 
redness and slow suppurative destruction. The first 
symptom is a sensation of tension, even before the skin is , 
reddened ; but even at this time an infiltration can be 



100 DISEASES OF THE SKIN. 

appreciated by delicate toucli. This plug irritates the 
neighboring tissue ; inHammation and suppuration take 
place around the core, which becomes loosened and is 
finally cast off. The arteries and veins in and around the 
core are filled with coagulated blood. 

£oUs of the cellular tissue are hard, difi'use infiltrations 
of the coriura, which become gangrenous in large por- 
tions and destroy the subcutaneous cellular tissue to a 
considerable depth. They frequently become confluent, 
and great portions of the skin slough, so that even the 
muscular tissue may be exposed. 

The causes of furuncles may be for the greater part 
local, but we find in most cases constitutional irregularities 
as the predisposing cause. It is yet a question whether 
high living and dyspepsia are alone so much to blame, 
since we find them as frequently in persons forced to 
breathe continually an impure air, in close rooms with im- 
perfect ventilation. Boils may appear in any part of the 
cellular tissue, but the neck, hips and buttocks are fre- 
quently the seat of the disease, and there are cases of suc- 
cessive crops of boils, so that the disease often lasts a con- 
siderable time. Furunculous ecthymata are often found 
in association with furuncles, thus establishing a relation- 
ship between them. 

Hordeolum or Stye is a little boil commonly met with 
on the eyelid. 

Anthrax — Carbuncle. Anthrax is distinguished from 
furuncle by the deep gangrenous destruction of the 
skin, embracing both the corium and the subcutaneous 
tissue, whose necrosed masses, together with the scantily 
formed pus, are discharged through several sieve-like 
openings, corresponding to the numerous necrosed cores. 
The surrounding parts are reddened, hard to the touch 
from plastic infiltration and the vessels are plugged up. 
The formation of anthrax is attended with severe tension 
and pain, which is the more severe in proportion as the 



FUR UNCULOm AFFECTIONS'. 101 

part affected is more or less rich in nerves and sensitive. 
There is fever during its whole course, and if the process 
is not stopped, chills and pysemic symptoms may ajDpear. 
The healing process is often indolent, the parts remaining 
indolent, dusky, shreddy and also sloughy. The patient, 
if the attack is severe, gets into a very depressed state. 
The usual place of carbuncle is the back, from the nape 
of the neck to the pelvis, though any part of the body 
may be attacked. Dangerous sj^mptoms may appear in 
anthrax and furuncle of the face, forehead or nape of the 
neck, by being readily complicated by phlebitis. This 
phlebitis of the face is fatal by the propagation to the 
sinus of the dura mater, or by becoming a source of puru- 
lent infection. Carbuncles are common in advanced life, 
although they are found at any period and in any condi- 
tion of life. 

Fox (l. c, 235) sums up the following conditions under 
which boils or carbuncles appear: 1. During seasonal 
changes in spring and summer. 2. From eating diseased 
meat (frozen). 3. When any special alteration is made 
in the ordinary habits and economy of the body, as in the 
training of prize-fighters. 4. From the influence of cada- 
veric poisons. 5. From sudden changes of diet. 6. After 
fatigue of long duration. 7. During convalescence from 
debilitating diseases. 8. As a consequence of the action 
of septic poisons, as in fevers, etc. 9. In albuminuria. 
10. In the diabetic habit. 11. During adolescence, and 
in the first stage of manhood. In most of these cases 
there are debility and an overloaded state of the system ; 
for example the circulation of urea, of sugar, of septic jDoi- 
son or of effete matter, which is plentiful during conva- 
lescence ; and it only needs the action of some local irritant 
to determine the developement of furunculi in the parts 
to which that irritant is applied. 

Treatment. Brewer's yeast has the reputation of being 
decidedly beneficial in boils. It may be given between 



102 DISEASES OF THE SKIN. 

meals, a tablespoonful three times a day. Quinine in large 
doses, so as to cause decided head-symptoms, finds favor 
also with some practitioners. Hardy recommends the 
aqua picea. Neumann, free exercise in the open air and 
regulation of the diet to check the disposition to furuncu- 
losis in those who suffer continually from boils in con- 
sequence of too close confinement. Locally the best treat- 
ment is to open the furuncle with the knife as soon as 
possible. To diminish the pain during the operation, a 
freezing mixture may be applied before opening it, fol- 
lowed by cold water dressings. This treatment is also 
applicable to anthrax, with the difterence that in this 
several cross-cuts must be made. Ether or rhigolene spray 
may take the place of the freezing mixture. Some sur- 
geons prefer subcutaneous incisions. 

Fox justly remarks, that the internal treatment varies 
according to the state of the patient. In the slighter forms 
or at the beginning, the abortive treatment of pressure 
might be tried, by means of soap-plaster; but in the vast 
majority of cases boils run on to suppuration, and the rapid 
evulsion of the core should be encouraged. Poulticing 
should be confined as much as possible to the exact seat of 
the local inflammation, as from the neglect of this precau- 
tion fresh boils spring up around the old one. To hasten 
the maturation and exit of the core, potassa fusa or acid 
nitrate of mercury must be applied around the indicated 
locality. The same treatment holds good for carbuncles, 
but if pressure fails and there are serious tension and pain, 
the swelling must be incised. The incision should be sub- 
cutaneous, crucial or single, as the case may be. 

Helmuth {Surgery^ 469) teaches that patients are cured 
as speedily and more radically by homoeopathic remedies, 
and we, therefore, refer our readers to that excellent 
compendium for the treatment of furuncles and carbun- 
cles. 

Kallenbach introduced into our materia medica Galea- 



FURUNCULOUS AFFECTIONS. 103 

rea muriatiea, intern all j as well as externally. We com- 
monly put an ounce of the salt into a quart bottle of 
water, and find this solution strong enough for maturation 
and expulsion of the necrotic tissue. Ai^sen.., Bellad. and 
Silic. are the remedies which we find most frequently 
indicated. 

Gilchrist {Treatment of Surgical Diseases.^ 379) recom- 
mends for boils: Aeon., Arnic, Bellad., Hepar, Mercur., 
Sulphur; and for carbuncles: Arnic, Arsen., Bellad., 
(CalenduL), Laches., Mercur., Sulphur. For particulars 
we refer to the work. 

An exhaustive article on boils may be found in the 
Hahnemannian Monthly, Yol. YII., 510 and YIIL, 70, 
where the remedies for the location of boils is strictly 
individualized ; ending with the remark of Hughes and 
Madden, that a boil in the stage of inflammatory engorge- 
ment, before matter is formed, may almost always be 
blighted by repeated doses of the first dilution of Bella- 
donna, and even later still its progress may be arrested by 
Silicia, and if they recur again and again, the constitu- 
tional tendency may, with equal frequency, be checked 
by a course of Sulphur. 

Jahr {Clinical Guide, 39) recommends for anthrax, when 
caused by infection: Arsen. or Lachesis, unless China, 
Ehus tox., Silic. or Pulsat. should be indicated. The 
common anthrax requires Silic. or perhaps Cepa, Hyosc, 
Lycop. or Witv. ac. Sometimes Arnic. is given with good 
efiect at the beginning, after which I^ux vom. completes 
the cure. Lachesis, dark redness around the sore and 
dark bloody pus ; ^j9zs, stitching burning pains ; Arsen., 
burning pains, as from live coals; Stramon., pains so 
severe, that he becomes nearly distracted; Lycop., warm 
poultices aggravate all the pains; Anthrac, violent burn- 
ing pains, not relieved by Arsen., cerebral symptoms, ab- 
sorption of pus by the blood, gangrenous destruction. 

Kafka {I. c, II., 419) considers cold as the most efiectual 



104 DISEASES OF THE SKIN. 

means to check the dermatitis and to prevent its spread. 
Ice bags, or ice mixed with salt, applied to the inflamed 
part and frequently changed, often reduce the inflamma- 
tion to the minimum, assuage the pain and shorten the 
course. In favorable cases the patient gets well without 
the formation of abscesses or necrosis of the connective 
tissue, or instead of the latter only a benign suppuration 
appears. Ice bags applied early and energetically over a 
carbuncle may entirely prevent all destructive process ; 
but such applications are only indicated so long as the 
patient finds them soothing and beneficial. As soon as 
cold increases the pain, we must change from cold to 
warm fomentations. 

Where, in spite of the application of cold, the pains, 
the heat and the tension are very intense in the inflamed 
cutis, we give J-Con. for the simultaneous sthenic fever; 
Apis or Bellad. for cerebral congestions ; Merc. sol. in 
afebrile states, with restlessness at night and sleeplessness ; 
Hepar for hammering pains and horripilations, hinting at 
the formation of pus ; Niix vom. or Bryoii. for simultane- 
ous gastric states. As soon as fluctuation is clear, the open- 
ing of the abscess should be early performed, as, where 
the pus remains too long inclosed, the patient may 
become cachectic, or it may lead to furunculosis. In an- 
thrax also early surgical interference may be recom- 
mended. The more profuse the suppuration, the more a 
nourishing diet is indicated. If adynamia sets in, with 
necrotic destruction of the carbuncle, Rhus tox.^ Arsen., 
Lachesis or Secale have often stopped the gangrene and 
brought strength to the sunken vital powers. Where 
the strength rapidly fails, Campho?\, Kreosot.^ Sabina^ 
Carb. veg. are indicated. Against furunculosis we give 
Phosphor, with benefit, and Nitr. ac. or Ukas tox. when 
cold water treatment is the cause of it. 

Bsehr {I. <?., II., 531) is totally opposed to all surgical 
interference, and especially to early incisions, and begs all 



FUR UNCUL US AFFECTIONS. 105 

surgeons to try the cure of furuncles and carbuncles by 
internal medication alone. He recommends Ai^sen. from 
the start, and Secale as soon as cerebral symptoms set in, 
or Phosph. Silicia can only be indicated when suppuration 
is fully established. Soule expresses himself also as against 
the treatment with the knife, and in favor of the expect- 
ant treatment, with emollient poultices. But a large an- 
thrax he first destroys with the Vienna paste and opens 
on the following day, and then treats with the tincture of 
Iodine. 

Malignant Pustule — Pustula Maligna. 

This disease is characterized by a boil-like inflamma- 
tion, accompanied by gangrenous changes, and produced 
by the contact of a certain animal poison derived from 
beasts aftected with a disease called charbon. It occurs 
in those who touch the dead carcasses of " charbon " ani- 
mals, or work with the hides and secretions of such dis- 
eased animals, or who are in constant contact with beasts, 
or are stung by flies that have feasted on the former. It 
is even said that the disease may be caught by eating the 
flesh of such diseased animals. 

It commences as a papule of a livid color, and at the 
earliest stage the tissues around can be felt to be indu- 
rated to a considerable extent and depth, and distinctly 
creak on being incised. In from seven hoars to two 
days the papule becomes like the vaccine pustule, only 
livid or black, and an erysipelatous redness extends around 
it, spreading oftentimes with great rapidity. The pustule 
and the swelling around steadily increase. The cuticle 
is then raised by effusion, and blebbed, and sloughing 
ensues. The pain is burning, but only in exceptional 
cases severe. The constitutional symptoms bear an exact 
proportion to the extent of the local mischief ; the breath 
is offensive, the tongue moist and coated, the pulse quick 
and strong, becoming small and frequent, the skin is re- 
laxed and clammy. The patients either die in coma, or, in 



106 DISEASES OF THE SKIN. 

favorable cases, the disc of dead tissue in the centre 
sloughs, leaving a healthy, granulating surface behind. 
The disease is always the result of direct local inoculation. 

The treatment consists in fully destroying at the earliest 
possible moment the eschar or vesicating part by potassa 
fusa, subsequently incising, applying charcoal poultices, 
with chlorinated soda washes, and internally, after a 
cathartic, free doses of tincture of steel, carbonate of am- 
monia, brandy and generous diet. (Fox, I. c, 239.) 

Helmuth {Surgery, 380) agrees as to the local treatment, 
but instead of a general internal treatment, states that the 
livid color of the pustule and the typhoid symptoms clearly 
point to another animal poison, Lachesis^SiS, the simillimum. 
Dr. Carroll Dunham cured a case with Lachesis and stimu- 
lants (a bottle of Dublin porter every two hours, until the 
pulse revived and the restlessness subsided), and in his 
own case {Am. Horn. Review, TV. 31) it acted equally well. 
This distinguished physician, while assisting in the au- 
topsy of a woman who had died of puerperal peritonitis, 
received a dissecting wound on the index finger of the left 
hand. Within a week the finger had quadrupled in size ; 
the hand and forearm were much swollen and oedematous, 
a hard, red line extended from the wrist to the axilla, 
where the glands were swollen ; intense pain ; the whole 
left side was partially paralyzed. The constitutional 
symptoms were, extreme prostration, low muttering de- 
lirium at night, marked aggravation of suffering and 
prostration on awaking from sleep. Lachesis 12th was 
taken on the third day of the illness, and a dose thrice 
daily for ^yq days, at the end of which period the con- 
stitutional symptoms had substantially vanished. The 
recovery of the finger was slow but complete. 

Should we, in cases of malignant pustule, follow Baehr's 
advice, and rely entirely upon internal medication ? Some 
cases may slowly recover under mere internal treat- 
ment, but certainly surgical interference ought not to be 



FUR UNCULOUS AFFECTIONS. 107 

made a bugbear of, and it is our duty to use every means 
giving any chance of alleviating the sufferings of our 
patients. 

l^either Arsenicum nor Arum triphyllum correspond 
fully to malignant pustule, although each has adynamia 
among its symptoms. The restlessness of Arsenic, the 
dry tongue and involuntary diarrhoea, and the unconscious- 
ness are secondary symptoms, and in neglected cases it may 
become the remedy for these consecutive symptoms of 
putrid infection. JNelaton recommends the application of 
vi^alnut leaves on the malignant pustule. {N. A. J. of H. 
XYI. 175.) 

Fustula Aleppensis, JBouton d'Alep. 

This is a chronic inflammatory infiltration of the skin, 
affecting the outer corners of the eyes, the under eyelids, 
the cheeks, the point of the nose, the lips, and especially 
the lower extremities ; principally attacking strangers who 
have moved to the East. It appears endemically. The 
natives are attacked mostly from the first to the seventh 
year of life ; foreigners may have it at any age. The dis- 
ease occurs but once in a lifetime. It begins as a small 
red spot, which is gradually developed into an indurated 
swelling. The edges of the ulcer are thick and infil- 
trated ; the granulations are foul. After lasting from 
eleven to fourteen months, the ulcers become clean and 
a scar is formed. 

A similar malignant pustule is known under the names 
"the Delhi boil, the Scinde boil," and so on. Dr. Flem- 
ing {English Army Medical Heport, 1869,) has seen much 
of these diseases, and states that we should, as soon as the 
disease is recognized in the form of a small reddish-brown 
growth on the skin, apply strong nitric acid or potassa 
fusa over the surface. All these ulcers propagate them- 
selves in various ways amongst individuals and bodies of 
men, principally, if not entirely, by their discharge, which 
is most contagious when a thick gummy-like exudation 



108 DISEASES OF THE SKIN. 

appears at the upper part of a sore or from a scab, just 
previous to the commencement of ulceration. 

Scemorrhagice of the Cutis. 

Purpura. 

Purpura is an erythema (erythema porphyricum) associ- 
ated with the escape of blood from the capillary vessels, 
so as to produce a purple spot in the skin. The spot may 
be a mere speck or stigma ; it may have the appearance 
of a flea-bite or petechia, that is, a central point surrounded 
by a halo of a brighter tint ; it may occur in stripes or 
wheels, vibices; or it may present itself as a diffused blotch, 
or ecchymosis. The color of purpura will vary with its 
age, ranging from bright crimson to purple-black, and its 
figure and extent with the degree of vital resistance of the 
tissues. When mild, it is called purpura simplex; when 
severe purpura hemorrhagica, in which the hemorrhage may 
also come from any or all of the mucous surfaces. These 
spots never fade on pressure, are especially apt to appear 
on the lower extremities, and are most marked about the 
thighs and buttocks. They may be single or aggregated 
into patches, and appear fresh every day or at short inter- 
vals. Diet fails to influence the progress of the eruption, 
whereas in purpura from scurvy, fresh vegetable food will 
immediately check the disease. 

Hcematomata, blood cysts, when the blood collects in the 
form of a distinct tumor, arise when blood vessels are ac- 
tually ruptured and so permit the escape of blood. It is 
an injury, not a disease, and belongs to surgery. 

Secondary forms of cutaneous hemorrhages occur in con- 
nection with diflferent zymotic diseases, as typhus, variola, 
etc., and are an ominous symptom of the disease, but not 
a cutaneous disorder. 

HcEmatidrosis or blood sweating will be treated among 
the disorders of the sudoriparous glands. 



HEMORRHAGIC OF THE CUTIS. 109 

Treatment Turpentine, perchloride of iron and quinine 
are recommended. 

Kafka {l. e. II., 479) recommends Lachesis, Rhus tox. or 
Arsen. for simple purpura. Secale or Ergotin also deserve 
our consideration, having been found useful in internal 
capillary hemorrhage. Purpura hsemorrhagica needs Acid 
sulpha for some time, or Ferrum sesquichloratum, 1 grain to 
half an ounce of water, and externally 10 grains to half an 
ounce of water. Tepid baths are only advisable in robust 
persons. Weakly or debilitated subjects fare better from 
sponging with diluted vinegar or wine. 

Hughes ( Therapeutics, 48) gives two cases of purpura 
with asthenic fever, which recovered under Sulphuric acid 
and Arnica; but he considers its use rather a relic of old- 
school traditions than an induction from the law of simi- 
lars. The petechise of purpura are unquestionably so 
many bruises (ecchymoses), only in this case the extrava- 
sation results from morbid change from within, and not 
from mechanical violence from without. The influence 
of Arnica is probably not merely local, but dynamic and 
specific. Mercurius also causes ecchymoses or hemorr- 
hages. Arsenic is homoeopathic to the prostration and the 
petechiae. Phosphorus is indicated in the non-febrile 
variety of purpura, as abundant ecchymoses observed in 
the subjects of poisoning by Phosphorus closely resemble 
the symptoms of purpura ; but they are secondary symp- 
toms, and occur only in connection with the peculiar mor- 
bid changes induced by Phosphorus. The anti-hsemorr- 
hagic virtues of Hamamelis are so well marked, that it 
must exercise great power on such morbid conditions. 

Eaue {I, c. 543) gives as therapeutic hints Phosphor., Le- 
dum, Bryon., Arnic, Arsen., Laches., Sulph. ae. 

Jahr {Clinical Guide, 357) praises Bryonia highly, and 
also recommends Arnic, Bellad., Berb., Hyosc, Laches., 
Ledum, I«fux vom., Phosph., Euta, Secal., Silic, Stramon., 
Sulph. ac. 



110 DISEASES OF THE SKIN. 

Hale {New Remedies^ 168) mentions Chloral and Hama- 
melis. 



CHAPTER III. 

YI. PIGMENTARY DISEASES. 

Maciilm — 3Ielanode7*ma — 3Iorbiis Addisonii — 
Lencodevina — Cliloasma, etc, 

MaculcB or stains (discoloration s of the skin) are of 
various kinds. Excluding from this chapter hsemorrhagic 
stains, as in purpura, and also those that are parasitic or 
chemical, we shall confine ourselves strictly to pigmen- 
tary diseases. They are seated in the deeper layers of the 
epidermis, the so-called rete mucosum, and may be classed 
under two heads, viz. : those in which there is an excess of 
pigment, and those in which there is a deficiency of it. 
Fox {I. e., 401) accepts these two grand divisions only, the 
former as Melanoderma^ the latter as Leucoderma. 

Melanoderma — Leucoderma. 

Melanoderma means, therefore, excess of pigment, result- 
ing in discoloration ; but the altered tint of the skin may 
be blue, yellowish, black (thus including cyanoderma, 
xanthoderma and melasma). 

Melasma, melanosis, nigrities, is an acquired discoloration 
of the skin, afifecting principally the lower extremities, 
but which may include the whole surface. It is seen 
mostly in wine drinkers, and after pediculis vestimento- 
rum in consequence of numerous extravasations coming 
from severe scratching. The skin resembles that of a ne- 
gro. It may also be a physiological condition, as seen in 
the staining around the nipple and the linea alba in preg- 
nancy, and this condition may become a pathological state 
by its excess. According to Anderson melanosis occurs 
in its most typical form in persons tainted with syphilis ; 



PIGMENTAR Y DISEASES. Ill 

but such cases will be classed under the head of constitu- 
tional syphilis. 

Wilson thinks that in melanoderma there is an aneemia 
of special features, accompanied by pigment deposit and 
change, due to deUlity of the nervous powers., and that the 
various colors are modified results. 

Morbus Addisonii — Bronze Disease, 
Addison first called attention to a peculiar discoloration 
of the skin (bronzing), which he connected with disease 
of the supra-renal capsules. It is accompanied by pro- 
gressive debility, anaemia, a compressible pulse, giddiness, 
nausea and gastric disturbance, and usually terminates 
fatally at the end of a few years. The color in these cases 
is brownish, with sometimes an olive-green tint, and it very 
closely resembles that seen in the darker races of men. 
The depth of tint varies in different patients, and is most 
marked in parts most exposed, and also in places where 
there is normally an excess of pigment, as, for instance, 
around the axillse and near the umbilicus. 

Eulenburg and G-uttman (Pathologioe der Sympathicus., p. 
162) have collected all the arguments concerning the ori- 
gin of this bronze disease. They acknowledge that neither 
the physiology nor the pathology of the supra-renal glands 
are yet understood, and they lean with great force to the 
opinion that the supra-renal disease is a secondary one, 
dependent on an affection of the nervous system., especially of 
the large abdominal plexuses of the sympathetic. Ad- 
dison thought that the excessive prostration might be 
caused by an affection of the semi-lunar ganglia; and 
Virchow {Geschiolilste., II. 702) remarks, that discoloration 
of the skin is also observed in disease of the pancreas. In 
most cases of disease of the pancreas or of a supra-renal 
gland, we also find the epigastric and mesenteric lymph- 
atic .2:lands in a diseased state. 

Rossbach (Yirchow's Archiv.^ 1870) considers morbus 



1]2 DISEASES OF THE SKIN. 

Addisonii a functional disorder of the whole nervous sys- 
tem, standing in some relation to the supra-renal glands, 
and characterized by mental disturbances, excessive anae- 
mia, extraordinary sensation of debility, and very fre- 
quently by dark pigmentation of the skin. Emaciation 
is here the exception, whereas it is the rule in dyscrasic 
anaemia (cancer and tuberculosis). As setiological stand- 
points for morbus Addisonii, we find in all cases disturb- 
ances in the nerve centres, long continued emotions, grief, 
misery ; these depressing emotions, reacting on the whole 
nervous system, may produce ansemia or changes in the 
distribution of the blood and, in consequence, of its pig- 
mentation. Wilson {Diseases of the Skin, p. 600) says : 
The leading features of this morbid state are ansemia, 
general languor and debility coming on slowly and insidi- 
ously, so that the patient can hardly ^x a date to his 
earliest feeling of that languor, remarkable feebleness of 
the heart's action, the pulse perhaps large but remarkably 
soft and compressible, and occasionally with a slight jerk, 
especially under the slightest excitement, irritability of 
the stomach, and singular dingy or dark discoloration of 
the skin, occurring in connection with a diseased condi- 
tion of the supra-renal capsules. The solar plexus is the 
actual source of all these successive phenomena, and the 
disease of the capsulse supra-renales only the exciting cause. 
A harmless chloasma cannot be set down as a sign of a 
fatal cachexia ; but our experience is altogether in favor 
of considering it a consequence of irritation of the great 
centre of innervation of the assimilative organs. Further- 
more, cases are on record, where the whole complex of 
symptoms was present, without any diseased state of the 
supra-renal capsules being found after death ; and Rortau 
{Brit. Med. and Surg. JReview, April, 1861) narrates that 
most remarkable case of melanosis, where a woman, during 
the French revolution, was condemned to be hung, and 
from fright turned black all over the body. The exe- 



PIGMENTAR Y DISEASES. 113 

cution did not take place, but the discoloration of the 
skin remained up to her death, thirty years later. 

Leucoderma. The same nervous influence prevails in 
some cases where diminution of pigment is found, but un- 
fortunately we do not yet know the cause of this loss of 
coloring matter. Partial discolorations are seen princi- 
pally after very enervating diseases, as typhus. In ne- 
groes the discoloration is, as may be conceived, more strik- 
ing, so that a true dappling results (Neumann, /. c. 387). 
In all such cases of leucoderma everything else is normal, 
save perhaps the sensations, which may be blunted. In 
the East Indies, where this disease prevails, it is known to 
arise from depressed innervation. That fright and fear 
have blanched over night the hair of darkest hue (loss of 
pigment), is a fact too well known to allow of dispute. 
From such known causes we may well form conclusions 
for other cases where the causes still remain incognito, 
and pigmentary diseases may be therefore classed among 
the neuroses of the skin. 

Melasma jigurata is a partial form of melanosis, gener- 
ally circumscribed, but not unfrequently associated with 
a diiFused huskiness of the skin (ephelis). Plenk distin- 
guishes seven varieties, three belonging to the local group, 
Solaris (sunburn), ignealis, a vesicatoric (or from any other 
local irritant), and four constitutional varieties, namely, gra- 
vidarum, hepatica, dysmenorrhoealis and hemarrhoidalis. 

Figmentary ncevi consist of collections of pigment in 
the rete and corium, and a certain amount of hypertrophy 
of the papilla at times. They may be furnished with hairs 
(nsevi pilosi). 

Xanthoderma. In this disease the pigmentary discolora- 
tion is yellowish, and it is subdivided by some into len- 
tigo and chloasma. 

Lentigo (freckles) is a small lentil-shaped and lentil- 
colored spot, commonly met with on the face and exposed 
parts of children and fair-complexioned persons, seated in 



114 DISEASES OF THE SKIN. 

the rete-mucosum, and produced by an unknown predis- 
posing cause, showing itself by a weakness in the structure 
of the skin and a sensitiveness to irritant impressions. 

Chloasma (liver-spots, pityriasis versicolor) is a discolor- 
ation of the skin, of a light yellowish or greenish-brown 
tint, having its seat in the rete mucosum, occurring in 
small patches or blotches of considerable extent, distinctly 
circumscribed and developed symmetrically on the trunk 
of the body, neck and limbs. (The Vienna school con- 
siders chloasma of parasitic origin, and classifies it among 
the* parasitic diseases, and it will be considered more at 
length in the chapter on these diseases. We will only 
mention that here also assimilative debility, general 
nervous weakness, etc., are found among the most fre- 
quent predisposing causes.) 

Jeffries {l. c. 62) remarks, that chemical analysis shows 
the coloring matter to be allied to the indigo compounds. 
The theory of coloration in chromidroses is, that the in- 
dican^ exists in the blood in certain unhealthy conditions. 
It is colorless and soluble, especially in an alkaline fluid. 
The indican is secreted by the sudorifarous glands, still 
colorless. It is now dehydrogenated, and fully oxidized 
(according to temperature, etc.) into brown or blue indigo, 
The indigo-red does not seem to be formed. When the 
blue is very abundant and deep in color, it appears black. 
In blue coloring of the lids the urine showed by test no 
color. Dermatologists have thus proved by the chemists' 
assistance, that the skin does not excrete certain coloring 
matters. IsTeftel {N. A. J. of Horn., xxii. 68) says of In- 
dican : This coloring matter is occasionally found also in 
typhus, cholera and other diseased conditions ; but its 



^Indican, C26, H31, NO17. Present only in small quantities in 
the normal urine ; in larger quantities in pathological urine, especi- 
ally in hepatic cancer ; copiously also in the urine of dogs ; gives to 
the urine its intensely yellow color. In putrefying urine it passes 
into indigo Ce, N26, NO, a dark -blue amorphous powder. (Ranke, 
Physiology, p. 75.) 



PIGMENTAR Y DISEASES. 115 

presence in large quantities in persons affected with malig- 
nant tumors I consider as pathognomonic of carcinoma of 
the liver, and consequently of the generalization of the 
disease. Wilson notices especially in reference to melano- 
derma a peculiar condition of the eye, — "the melasmic 
eye." It consists of a vivid brightness and brilliancy and 
sparkling lustre of the eyeball, a liquid depth of color of 
the humors of the eye, and a strongly contrasting white- 
ness of the sclerotica, the effect being often increased by 
a more or less deep tint of a dull blackness of the integu- 
ments of the eyelids, more especially of the fold of skin 
of the upper eyelid which immediately borders on the 
eyelashes. (Such a brilliant eye is also characteristic of 
hysteria, and may be caused by the same or a similar state 
of anaemia and deficient innervation). 

The prognosis may be grave or unimportant, according 
to the nature of the cause. If the irritation of the organic 
nerves be due to visceral disease, and proceed to an aggra- 
vated form of melan£emia and leucaemia, the case will most 
likely prove fatal. If the disease be slight or simply 
functional, there is hope of cure. Cases most favorable to 
a cure are those where the nervous irritation originates 
in deranged uterine function or in hysteria. 

Treatment — The treatment consists in the removal of the 
cause and the renovation of the strength and nervous power 
of the sj^stem. 

Wilson found the ferro-arsenical mixture of great value, 
combined with moral medicine and a generous diet. The 
local treatment requires moderate stimulation by means 
of friction and ablutions with the carbolic acid or juniper- 
tar soap and the use of cold water. The bichloride of 
mercury lotion, one or two grains to the ounce, is fre- 
quently of great service; so also frictions with the unguen- 
tum picis liquidse or unguentum sulfuris. In obstinate 
cases we have had recourse to the compound tincture of 
iodine pencilled on the surface, a saturated solution of 



116 DISEASES OF THE SKIN. 

iodine in glycerine, and a solution of potassa fussa, one 
part to eight of water. 

Fox (L c, 404) does not think local remedies of any 
direct use, yet free ablutions and frictions with the use of 
juniper-tar soap as a stimulant, help the skin to recover 
its healthy condition. Imperfect oxidation and deficient 
elimination must be remedied. The action of the malarial 
poison on the system may also tend to an abnormal pro- 
duction of pigment in the blood. 

^Neumann {l. c, 385), the disciple of Hebra, on the con- 
trary, believes that the removal of pigment is readily 
accomplished by such means as cause a superficial inflam- 
mation of the skin and result in desquamation of the 
epidermis. Among the remedies employed, the best is 
corrosive sublimate (grs. v ad aqua ^ j.). The affected 
portions of skin are covered with pieces of linen, accurately 
fitted, and kept moist with the solution for three hours. 
The edge of the cloth should be continually dried, as 
otherwise the solution will collect and destroy too deeply. 
Gradual separation of the epidermis may be obtained by 
an ointment consisting of Bismuth subnitrat. et hydrarg. 
prsecip. alb. aa. 5 j. Unguent, simplex, ^ ij. The disfigura- 
tions return in most cases. 

Kafka {L c, II., 676) speaks of 7nelancemia where the 
blood is poor in red blood globules, with a surplus of pig- 
ment in the blood, which will be deposited in the tissues. 
Such a state is frequently observed after old and severe 
intermittents. After treating fully of the dietetic and 
hygienic treatment of ansemia, he continues (p. 684) : 
" The remedial treatment requires our utmost care. In 
selecting the remedy we must not only study out the 
cause, but we must also elucidate whether we have to deal 
with a primary or secondary ansemia, as the former is 
often curable, whereas the latter fails to respond to our 
efforts. There is no universal remedy for the removal of 
anmmia. 



ANOMALIES OF SECRETION. 117 

Eaue {l. c, 608) mentions Calc. carb., Clematis, Graphit., 
Hepar. s. c., Lycop., Petrol., Plumbum, Sepia, Silic., 
Sulphur, Thuya, to be compared with the symptoms of the 
individual case. 

Toothaker (Small, Diseases of the Nervous System^ 190) 
mentions for Lentigo : Antim., Bryon., Calcar., Lycop., 
Natrum, Pulsat., and Sulphur; and for Ejphelis : Alum., 
Dulcam., Graphit., Kali, Mur. ac, Witr. ac. Sepia, 
Tart. em. and Yeratr. Incidental Leucoderma {Alhinis- 
mus) has been cured by Arsen. Alum., ^atr.. Sepia, 
Silic, Sulphur have been found useful. Calc, Carb. an., 
Mercur., Phosphor., !N^itr. ac. or Phosph. ac. might prove 
beneficial. 

Anomalies of Secretion, 

The secretion of the sebaceous glands is designed to give a 
certain softness and flexibility to the epidermal structures 
of the skin. These glands are most numerous in parts 
largely supplied with hair, as the scalp and face, and are 
thickly distributed about the entrances of the various 
passages into the body, as the anus, nose, lips and external 
ear. They are entirely absent from the palmar surfaces 
of the hands and the plantar surfaces of the feet. They 
are minutely lobulated glands, composed of an aggregate 
of small vesicles or saculi, filled with an opaque white sub- 
stance, like soft ointment. Minate capillary vessels over- 
spread them, and their ducts, which have a bearded ap- 
pearance, as if formed of rows of shells, open either on the 
surface of the skin, close to a hair, or, which is more usual, 
directly into the follicle of the hair. In the latter case there 
are generally two glands to each hair. At the borders of 
the lips and at the labia minora we find layers of sebaceous 
glands not connected with hairs. 

The secretion of these glands contains different fats, 
which are fluid in the normal state of the temperature of 
thebody, and cholesterine (fat, traces of oil and osmazome, 



118 DISEASES OF THE SKIN. 

watery extract, albumen and casein, phosphate and car- 
bonate of lime). Proof is still wanting that the nervous 
system exerts any influence over this secretion. 

The sebaceous secretion may be morbidly altered, and 
that both quantitatively and qualitatively. Quantita- 
tively it may be either increased or diminished. 

(a) Increase of the Sebaceous Secretion. 

Seborrhoea, steatorrhcEa, acne sebacea, is an increased secre- 
tion of sebum, which, mingled with epidermic scales, 
appears on the surface of the skin. This usually exists 
without any disturbance of health. The part of the skin 
affected has at first a shining, unctuous appearance, with- 
out any change of color. The fatty matter secreted may 
remain fluid, or it may congeal and form, with the epider- 
mic scales, a thinner or thicker layer of soft scales, at first 
white, which becomes darker and harder by exposure. In 
the dry form (steatorrhoea sicca) this layer can at first be 
rubbed off easily, adheres more and more closely as time 
advances, but always feels greasy between the fingers. 

This morbid sebaceous secretion is either a local or general 
one. Local seborrhoea comes especially on the scalp, nose, 
region of the beard and on the genitals. It is usual to 
describe certain local varieties, as follows : 

Seborrhoea capillitii. — The secretion of the sebaceous 
glands in the foetus is greater during intra-uterine life 
than subsequently, and we meet it at birth on the body 
generally, where it constitutes the vernix caseosa. This 
abundant secretion continues on the scalp during the first 
year of extra-uterine life, and if the sebum is allowed to 
collect there and gather dirt and dust from without, 
we may have finally crusts several lines in thickness, and 
the whole hairy scalp may be enveloped in a thick layer 
of sebum. When the crusts remain for a long time, the 
seborrhoea is generally complicated with eczema, for the 
collected mass of sebum decomposes, macerates, and irri- 



ANOMALIES OF SECRETION. 119 

tates the skin, and produces redness and moisture on it. 
The same disease appears also as thick scales, which cause 
the hairs to adhere to one another in little bundles 
(psoriasis amianthacea). 

In adults it forms one of the commonest varieties of 
scurf, or dry scales, which are formed in large quantities, 
and in old people it is seen in connection with senile decay. 
The scalp is for the most part devoid of hair, and covered 
with a dirty, yellowish-brown, easily -removable crust. It 
may also be a part of syphilis. 

Seborrhoea faciei. — On the face the oily portion of the 
sebaceous secretion is increased. The skin of persons so 
affected has a shining appearance when it is kept clean ; 
when neglected, dust and dirt adhere to the sebum, which 
is thus changed to a dark color. 

Seborrhoea nasi is frequently found associated with en- 
larged cutaneous veins, giving to the nose a reddish look, 
which is more striking in cold weather. 

Seborrhoea genitalium is very frequent in persons with a 
narrow phymotic prepuce, or in women, on the surfaces of 
the labia majora. 

Seborrhoea universalis is quite rare in adults, and shows 
itself by fatty plates caked on a thin, cachectic and dirty 
skin (pityriasis tabescentium), the openings of the seba- 
ceous glands all over the body being stopped up, forming 
tumors the size of a hazel-nut or larger. On some places, 
especially in children who are not kept clean, and whose 
skin is tender, slight excoriations are excited, which may 
cause seborrhoea to be mistaken for other diseases. 

Treatment — Our present knowledge of the use of fats 
and soaps enables us to treat these cases with great cer- 
tainty. 

Martin recommends mere. subl. corr. grs. viii., glycerine 
I j., aq. rosse g iv. to be used where the openings of the 
sebaceous glands are stopped up. 

Hillier removes the excessive secretion by the use of 



120 DISEASES OF THE SKIN. 

oil, to soften the layer of scales, followed by a strongly 
alkaline or soft soap. To promote the contraction of the 
orifices of the sebaceous glands, astringent lotions should 
then be used, such as the bichloride of mercury, acetate of 
lead, or sulphate of zinc. 

Fox is of opinion that wherever seborrhcea is well 
marked there is usually some debility present, and the 
internal use of cod-liver oil in addition to local treatment 
aids the cure of the disease. Some persons are ansemic 
and require iron, and where nervous debility exists, a 
course of arsenic and iron is specially needed with the oil. 

Hebra uses, where the disease resists simple treatment 
with oil and soap, his potash-soap (sapo viridis ^ ij., spir. 
vin. rect. ^ i., solve, filtr, et adde spir. lavendul 5 ij.)- The 
soap and its preparations are best used under the douche, 
the cold causing the glands to contract. In seborrhcea 
which has lasted some time, there is also a small amount 
of infiltration of the skin present, and various substances 
in the form of ointments are useful for its removal (Oxide 
Zinc, Garb, plumb, aa 5 i., Spermacet. ^ i., 01. Olivse. q. s., 
et. f. ung. molle.) 

Astringents, especially alum and tannin, and mild stimu- 
lants, are useful, either mingled with the ointments re- 
commended to be used with the frictions with soap, or alone 
in solution. 

Hardy witnessed good results from vapor-baths. 

Kafka does not order any internal treatment for the 
seborrhoea infantum, as it sufi3.ces to pencil the aft'ected 
parts with oil in the evening and to cleanse them in the 
morning with soap and water. Such a procedure must be 
continued till the scalp is perfectly free from scabs. The 
same external treatment is necessary for seborrhcea capilitii 
of adults, but he recommends Phosph.^, sl dose morning 
and evening, for the simultaneous itching between the 
hairs, or Calc-carh.^ for the hypersemia of the scalp with 
simultaneous severe headache. Natr. mur.^ acts admirably 



i 



ANOMALIES OF SECRETION. 121 

where tlie patients complain of severe itching between the 
hairs, which fall out in masses. The whole scalp is also 
washed mornings and evenings with a solution of salt 
(5 j. to § iij. distilled water), and the scales removed in the 
morning with a fine comb. Hypersemia of the scalp 
contra-indicates the salt treatment, as it always aggra- 
vates such cases. Sulphur and Sepia (6) are indicated in 
hypersemia, where dirty-yellow, wax-like scales appear on 
the scalp, forming thin crusts adhering firmly to the 
scalp, and which can be only removed with pain. Such 
a seborrhoea allows only the mildest treatment, and all 
soap is rather injurious at the beginning of the treatment. 
Only after the removal of the hypersemia, and when the 
crusts become soft and loose, Hebra's soap may be used in 
the morning as a tonic to the scalp. (Sapo. viridis ^ ij., 
Aq. Colouiensis 5 x, Misce.) Graphit^ or Vinca minor are 
given where the sebum is discharged in such quantities 
that the hair mats together in bundles, with the sensation 
of itching and heat on the- scalp. Merc, sol.^ may be tried, 
where the other two fail, under the same conditions. Ex- 
ternal treatment, steadily and energetically applied, is 
here of the utmost necessity. 

Seborrhoea facialis oleagincB requires Natr. mur.^ internally 
and externally for its removal. For the Seborrhoea fa- 
cialis sicca, penciling with oil at night and soap-suds in 
the morning suffice in most cases, but when the crusts are 
firmly adhering and the skin remains red after their pain- 
ful removal, we give Iodine^ internally, till the crusts 
become soft and loose and the redness disappears. 
Hepar^ acts well in children suffering from seborrhoea 
facialis sicca. 

Seborrhoea gerdtalium. Mezer,^ or Lycop,^ two doses 
daily, act well in seborrhoea fossae coronarise. Merc?, two to 
three doses daily, when the glands or prepuce are in a state 
of hypersemia. Local and general baths are advisable for 
cleanliness' sake, Merc, cor.^ internally, and a weak solu- 

10 



122 DISEASES OF THE SKIN. 

tion of it externally (gr. j to I iii, aq. distillata) have 
been used with rapid success. Seborrhoea genitalium. of 
women requires great cleanliness ; full and sitz-baths to 
prevent the secretion from becoming acrid ; internally 
Merc. soL^ or Sepia^. "Where these means fail, injections or 
sponging with a weak solution of Plumb, acet., Alumen, 
or Zinc. acet. may be applied* 

Baehr (II., 531) considers too much washing injurious, 
be it cold or warm. The soap used ought to be a very 
mild one, and sometimes spirituous ablutions are better 
borne. All fatty substances ought to be strictly inter- 
dicted. The causal indication must lead us to the selection 
of the simile. 

Comedo has been recently, by Yirchow, abundantly 
proved to be a distended sebaceous follicle, whose con- 
tents, projecting above the surface of the skin, becomes 
black from dirt, and when pressed out, assumes the 
shape of a worm. In some cases the contents may be- 
come dry and quite horny. Under the microscope this is 
found to consist of epithelial cells and oil globules, some 
fine hairs and crystals of cholesterine. These obstructed 
follicles are very commonly met with in young persons, 
especially on the face and back. 

Treatment Is^eumann (l. c, 75) recommends the assidu- 
ous expression of the sebaceous plugs by means of a watch 
key, or with a comedo extractor, similar to an earspoon ; 
after which the skin is rubbed with sapo viridis or tinc- 
ture of soap. When this alone does not suffice, we must 
try friction with a paste of Sulphur (Lac sulph., Gly- 
cerine, Spir. vin. rect.. Potass, carbonat.. Ether sulph. aa. 
partes equales), or with the Sulphur sand-soap, which is 
applied at night,, the foam remaining upon the face over 
night, not being removed till morning. Sometimes the 
formation of comedo is connected with chronic constitu- 
tional diseases, as scrofula, tuberculosis and other patho- 
logical processes which occasion a disturbance in the nu- 



ANOMALIES OF SECRETION. 123 

trition of the skin. Qaite frequently also it is associated 
with disorders of menstruation. The treatment of the 
cause must then be combined with local therapeutics. 
Kafka agrees with I^eumann. ToUe causam^ according to 
the Homoion, is also his indication, when necessary. 

Milium^ Grutum, are also distended white sebaceous 
glands, covered only by a thin epidermal layer. The little 
tumor contains epidermis cells, crystals of cholesterine and 
chalk. These appear mostly on the face, especially on 
the eyelids and cheeks, and also on the genitals ; fre- 
quently on the periphery of scars, particularly in lupus. 

Willan describes the same disease under the name of 
strophulus albidus, which is wrong, as strophulus is far 
better placed in the lichen group. 

Treatment The treatment consists in puncturing the 
epidermis and the evulsion of these spherical bodies by 
means of a comedo spoon. After their discharge they do 
not fill again, and the opening closes quickly. 

MoUuscum is an afiection characterized by round eleva- 
tions, varying in size from a hemp seed to a large currant 
or a hazelnut, generally with a dark point and a depres- 
sion on the summit of each. They have a rather translu- 
cent appearance, the color of the skin over them being 
either normal or pinkish ; occasionally there is a slight 
lobulation in them visible through the skin. The skin 
over them is usually tense, sometimes wrinkled. They 
either increase slowly in size without any other change, 
or they ulcerate on the surface and their contents escape, 
or they inflame and slough away. 

In molluscum the sebum collects in the glands in still 
greater quantity, and when opened, they discharge a 
milky fluid or finely granular masses which have the 
appearance of being compressed flatly against each other. 
Molluscum is found principally on the face, scrotum and 
penis ; less frequently on the chest and arms. The disease 
mostly occurs in children, but may be seen in adults. 



124 DISEASES OF THE SKIN. 

Opinions are divided as to the contagious character of the 
disease, but most authorities lean to the affirmative and 
consider it contagious (Baerensprung, Yirchow, Eind- 
fieisch, Fox, Hebra, and others). 

Yirchow found on section of a molluscum a glandular 
structure, with sebum collected between regularly radially 
grouped cylinder cells. The soft mass consisted of epider- 
mic cells and fat. He considers that there must be an 
indigenous cell- formation, as in the case of cancroids. Dr. 
Beale considers molluscum due to the alteration of the 
structures concerned in the formation of the hair, especi- 
ally of the cells at the bottom of the follicle, and of the 
follicle itself, with hypertrophy of the subcutaneous areo- 
lar tissue. {Paih. Soc. Trans. YI., 313). 

Molluscum has been divided into molluscum sessile 
(with a broad base) and molluscum pendulum (with a 
peduncle). Others divide it into molluscum contagiosum 
and molluscum librosum ; but the latter being a fibroma, 
and not originating from a sebaceous gland, is therefore 
wrongly called molluscum. 

Treatment. According to all authorities, molluscum is 
not attended with any constitutional disturbance, and the 
treatment recommended is also purely local. The tumors 
may be laid open and the interior rubbed with lunar caus- 
tic. If attached by a pedicle, they should be snipped off 
and the base cauterized. (Hillier, I. c, 189). 

Fox {I. c, 491) recommends that in cases where it can 
be done, the contents of the little tumors should be 
squeezed out and nitrate of silver applied to the inside of 
the tumor. If the tumors are small, the acid nitrate of 
mercury or potassa fusa solution may be used to them ; 
when large, their sacs must be removed ; and when the 
tumors are numerous, each must be destroyed by caustic 
and an astringent lotion used. 

Kafka (II., 339) also considers all internal treatment 
without result. After squeezing the contents out, he 



ANOMALIES OF SECRETION. 125 

paints the internal wall with tincture of iodine, wherehy 
the sac shrinks away. Peduncular mollusca may he 
ligated or cut away with the scissors. 

Sehorrhoea congestiva, Lupus erythematodes (Hebra, Ka- 
posi, ^^eumann). Adenoma of the Sebaceous Glands (E,ind- 
fleisch), attacks principally the face, rarely the body and 
extremities. Fox {I. c, 381) justly remarks that clinically 
the lupus erythematodes of the Germans is simply lupus 
in connection with a certain amount of hypertrophy and 
irritation of the sebaceous glands in the first instance, in 
consequence of which they become thickened and loaded 
with contents prior to their destruction by the new 
growth. In many cases the hypertrophy of the connec- 
tive tissue in the wall of the glands is the most marked 
feature. Auspitz describes it as collections of circumscribed 
infiltrations, more on the surface, as distinguished from 
the cell masses in lupus vulgaris that fill the whole depth 
of the skin. It is, therefore, no sehorrhoea, but rather a 
superficial lupus. 

Acne consists of retention of secretion together with 
secondary inflammation of the sebaceous follicles. (Fox.) 

ITeumann (I. c, 196) classes acne among the pustular in- 
flammations, and defines it as an inflammation of the se- 
baceous glands and hair follicles, which shows itself on 
the surface in the form of papules, nodules and pustules, 
from the size of a millet seed to that of a bean. "Where 
the inflammatory process extends deeply and includes the 
whole thickness of the cutis, a more or less extended in- 
flammation takes place around the pustules. 

Wilson remarks that retention of sebaceous secretion 
within the follicle, occurring in the languid and torpid 
skin of young persons, is apt to act as an irritant, and 
give rise to congestion and inflammation of the skin 
immediately surrounding it. Yirchow says that when 
an irritative process is set up around a hair follicle by 
the retention of the secretion, and assumes a true inflam- 



126 DISEASES OF THE SKIN. 

matory character, there result the various forms which 
have been commonly associated under the name of acne. 
When the occlusion is superficial, the follicles appear in 
the form of comedones, and acne punctata is the result. 
When it lies deeper and the neighboring structures swell, 
when the blood-vessels become dilated and varicose, and 
when pustules appear, we call it acne rosacea. Lastly, 
when the skin becomes thickened, acne indurata is pro- 
duced. 

Wilson {I. c, 699) divides acne into five stages. In the 
earliest stage, when only a slight elevation, without red- 
ness, but hard to the touch, and dotted in the centre with 
a black point, it is termed acne punctata ; when the pro- 
gress of congestion and infiammation has raised the slight 
prominence into a well-marked conical pimple of a red 
color, the term acne coneiformis becomes applicable ; in the 
third stage the summit of the cone is converted into a 
well-marked pustule, acne pustulosa ; in a fourth pustula- 
tion is imperfect, and the skin becomes tuberculated by 
thickening and infiltration of the tissue, acne tuherculata ; 
while in a fifth the skin is indurated and deeply scarred, 
ojcne indurata. (Acne rosacea is classed among the ecze- 
matous affections). 

E'eumann (?. <?., 197) by putting acne under the pustu- 
lar inflammations, throws all the varieties of acne into one 
class, and divides it into three varieties, acne disseminata 
(vulgaris, varioliformis, cachecticorum , artificialis), acne 
rosacea and acne mentagra (sycosis). Only the first and 
second will receive our consideration. 

Hillier, Fox, is'eligan and others adopt Yirchow's classi- 
fication. 

Acne simplex^ seu vulgaris. A number of black specks 
surrounded by a narrow border of raised cuticle appear on 
the forehead and face. They remain for some time with- 
out inflaming (a. punctata), or inflammation of the follicles 
and parts around is set up (a. coneiformis), passing over 



ANOMALIES OF SECRETION. 127 

into suppuration (a. pustulosa), which may discharge their 
contents and run their course in four or five days. In 
some cases the pustule is larger and presents at the base 
a slight elevation of a red color (a. tuherculata), which 
lasts from a week to a fortnight after the pustule has rup- 
tured and may leave a slight cicatrix. It is met with on 
the forehead, temples, between the shoulders and on the 
front of the chest ; it is observed in the young of both 
sexes, especially about the time of puberty (acme). ^ 

Acne indurata is acne simplex of an indolent and more 
or less chronic kind ; the separate pustules have a very 
hard, dusky-red base ; suppuration is scantily evolved ; 
the pustules are painful and there is a feeling of tenseness 
about the face ; the skin generally is congested, thickened 
and dense. After runnino; its course it leaves a swellino^ 
which is slow in disappearing, and which is sometimes 
succeeded by an indelible scar like that made by small-pox. 

Acne rosacea is another apple of discord among the derma- 
tologists. It might be well to consider it as a connecting 
link between the diseases of the sebaceous glands and 
hair follicles on the one side and new growths on the 
other. It is a chronic inflammation of the face, made 
up of acne spots, periglandular inflammation, erythema, 
and new growth of connective tissue growing indepen- 
dently of the glands. The first stage consists in conges- 
tion of the face and more or less dilatation of certain 
capillaries. Certain points of the papillary layer become 
hypersemic, and certain of the glands are similarly afi:ected, 
so that acne spots are produced, an excessive amount of 
sebum secreted, and the skin feels greasy. In the next 
stage, in consequence of the inflammation, the connecting 
tissue around and about the glands hypertrophies, — that 
is to to say, the acne spots become indurated and hard, 
whilst the independent non-glandular papules become 
more marked. The color of the redness is bright-red, the 
vessels become varicose and ramble freely over the surface 



128 DISEASES OF THE SKIN. 

of the diseased parts ; suppuration is not very marked, 
but the integument generally is thickened. This disease 
is rarely seen in the young. Clinical experience has 
shown that although frequent in good-livers and wine- 
bibhers, it is not necessarily restricted to them. Certain 
cases of acne rosacea can be traced to causes of a more or 
less definite kind, but in other instances we cannot dis- 
cover any condition to which we may attribute it. It 
occurs in women of middle age who suffer from uterine 
troubles. The disease is aggravated by trouble, by stimu- 
lating food, by exposure, by dyspepsia and by alcoholic 
drinks. 

Fox {l. c, 494) mentions an acne atrophica and acne 
hypertrophica, but there is really no necessity for such a 
division. In the former the acne spots are succeeded by 
atrophy, in the latter by marked hypertrophy of the con- 
nective tissue, in consequence of long continued conges- 
tion occurring in connection with acne. 

Acne syphilitica will be treated of under syphilis. 

Treatment. — Hebra says: I must confess that in spite 
of many efforts, I have not yet succeeded in finding a 
remedy by which acne can be prevented from developing 
itself or quickly got rid of when established. Proper and 
continued treatment is necessary. Several high authori- 
ties recommend not only in acne rosacea, but wherever 
the same follicles inflame and re-inflame at successive 
times, a small incision to be made through the skin over 
the follicle and a fine capillary tube, charged with strong 
nitric acid, applied. The acid penetrates the follicle, 
but does not burn any portion of the skin beyond the 
circumference of the tube. In acne rosacea, with exten- 
sive vascularities and even large excrescences, it is essen- 
tial to destroy the dilated veins or at least render them 
impervious. The quickest way of effecting this is to 
make a number of incisions with a sharp, narrow bistoury 
or cataract-knife, so as to cut the dilated veins longitudi- 



ANOMALIES OF SECRETION. 129 

nally, particularly those of which the loops are plainly 
visible, being gorged with blood. The blood should be 
allowed to flow for a little while, and the parts should 
then be touched with a brush dipped in liquor ferri perch- 
lorid. Where the nose has greatly altered in form and 
enormously increased in size, the thickened and hypertro- 
phied skin ought to be cut off so as to reduce the part to 
a bearable condition (Jeffries, I. c, p. 55). 

Kafka (II., 460). The homoeopathic treatment of acne 
disseminata aims to stop the continually recurring and 
extending inflammation of the sebaceous glands and to 
bring back their function to its normal state. For that 
purpose we examine which form of acne is most preva- 
lent, the papular, pustular or indurated form. 

Where the 'papular form prevails, i. e. where the in- 
flamed follicle does not pass over into suppuration, but 
forms a bluish-red nodule, covering itself after detu- 
mescence with small scales, Merc. soL^ is indicated, and 
where this remedy fails after some time to produce ame- 
lioration, Fhosphor.^, two doses daily. After three to six 
weeks, with an interval of a few days after every six 
to eight days of medication, we have seen long standing 
and frequently relapsing cases cured without any external 
application whatever. 

The pustular form requires Hepar^ or Bhus tox.^ in the 
same manner. 

Acne indurata needs Iodine^, Conium^ or Clematis.^ It 
takes time and patience to eradicate this form. In ob- 
stinate cases we may use Phosphor. ^'^ or Silicea.^ 

"Where the skin between the acne points looks as if 
besmeared with oil, seborrhoea is simultaneously present, 
and the internal and external use of Natr. mur. will be 
followed with success. 

Secondary acne (in the course of scrofulosis, scurvy, 
syphilis, etc.) requires the treatment of the fundamental 
disease, keeping in view at the same time the prevailing 
form of acne. 



130 DISEASES OF THE SKIN. 

In relation to diet, such patients must abstain from 
spiced, salty or acid food, and from alcoholic or stimulat- 
ing drinks. It is also advisable that the patients do not 
remove too hastily the crusts, as experience teaches that 
such nodules inflame easily in consequence of the me- 
chanical irritation. The pigment-spots remaining after 
the healing of the acne, disappear most quickly from 
ablutions of diluted alcohol or diluted Cologne-water. 

In acne rosacea we must fix our attention on the 
cause which produced it, and remove it. Our further 
treatment varies according to the grade and duration of 
the disease. Where the redness of the nose and cheeks 
is of short standing, and where the vessels are not yet in- 
jected nor the sebaceous glands inflamed, and where a cold 
atmosphere caused or aggravated it, we use Petroleum^ 
internally and pencil the affected points twice a day with 
the same, (Petrol, gtt. ij., 01. amygdal. 5 ij.) As soon as 
some heat and redness returns to the affected parts, we 
pause with the remedy and await its secondary action, 
which generally is beneficial. 

Where the redness is more livid and the veins are in- 
jected and varicose, we use Alumen internally and ex- 
ternally. Calc. carh.^ is indicated for a red nose in con- 
sequence of dys- and amenorrhoea or during climaxis, 
especially where plethora and congestion to the head are 
simultaneously present. 

A bluish color of the acne rosacea, with hypersemia and 
varicosity of the capillaries, indicates Sulphur^, even for 
drunkards, together with an inunction of the aflected 
parts every evening with Sulphur ointment (Sulph. 5 i., 
Axung. podc. i i.), to be washed off in the morning with 
soap and water. In such cases Nux vom.^'^ and Carb. 
veg.^ are also effective. Should the acne take on the pus- 
tular form, we prefer Hepar^ to Sulphur and employ it in 
the same manner, two to three doses daily. The first 
trituration, moistened with glycerine, may be applied to 
the affected parts. 



ANOMALIES OF SECRETION. 131 

Acne tuherculata needs Phosphor.^ internally, two doses 
daily, and an inunction with Phosphor liniment (Spir. 
Phosph. dil. 5 i.5 01. amygdal. ^ i.), two or three times 
every day. Where the disorganization reached a high 
degree, internal treatment fails and surgery becomes 
necessary. 

Hughes {Therapeutics^ 468) believes that acne simplex 
in young persons may often be cured by Ballad, if the 
patients are full blooded, or by Fulsat. if they are pale 
and slender. In more chronic cases Sulphur is required, 
and it is often useful to touch each prominence with a 
camel's-hair brush dipped in the mother tincture. Acne 
rosacea is a very obstinate affection, and probably more 
good is achieved by constitutional treatment, especially 
directed against alcoholic toxication, than by cutaneous ' 
remedies. Carho animalis, Antimonium crudum, Ruta and 
Ledum — as well as the never-failing Arsenicum — have 
been recommended. 

Bfehr (II., 503) remarks, that acne patients are very 
hard to treat, as they generally feel so well that a restric- 
tion in their diet is hardly ever taken with good grace 
or strictly followed out. Cold washing and bathing 
often does more harm than good. He recommends vapor 
baths, with the usual scrubbing, for acne on the trunk. 
In acne facialis the patient ought to rub the affected 
parts every morning with Venetian soap and warm water, 
and afterwards wash it off with cold water. He has 
hardly seen any benefit from internal treatment, except 
from Arsen. Hartmann and others recommend : Canthar., 
Sulphur, Staphis., Ant. crud., Dulcam., Mezer., E'atr. 
mur., Ac. nitr., Capsic, Sepia. 

Raue {I. c, 67). Compare: Bellad., Carb. veg., Hepar, 
Lachnantes, Sulphur. After sexual excesses : Calc. carb., 
Phosph. ac. Sulphur. For acne rosacea: Arsen., Puta, 
Ehus tox. Old warts upon the nose indicate Causticum. 

Toothaker (}. c, 175) recommends for acne rosacea 



132 DISEASES OF THE SKIK 

from intemperance, Arsen., IsTux vom., Laches., Ledum; 
from menoposis, Pulsat., Laches., Bryon., Bellad., Arsen., 
Sulphur. Also Cocculus, Sanguin., Sepia. 

Raue {Becord, 1870). Arsen. : Acne punctata in the 
face or on the forehead, skin dry and dirty looking. 
Bromide of Potassium causes acne simplex and indurata 
on chest, shoulders, face (nose and nose wings), lasting 
from one to four weeks, changing in numbers and leav- 
ing mostly a red spot with hardened centre ; before the 
eruption, a general annoying itching. 

{Becord^ 1871.) Silicea^^ cured in less than a fortnight 
a thick crop of papules (acne simplex) on the forehead, 
face and backs of the hands. Eruption red ; itches and 
burns in the day-time only. 

(Record, 1872.) A girl, fet. 24. For about a year on the 
chin single red spots, spreading upwards to nose and 
adjacent parts. The nose is swollen, disfigured, red and 
covered with nodes of various sizes ; also on cheeks and 
forepart of head. Getting heated makes it worse. It is 
attended with burning pain ; dryness of the nose ; disposi- 
tion to hoarseness ; constipation ; sweaty feet ; violent pain 
before the otherwise regular menstrual flow. Causticum^, 
three drops every morning. Within one month redness 
and swelling of the nose were diminished. Arsen.^, two 
drops night and morning, relieved constipation, painful 
menstruation and dizziness, but had no influence on the 
eruption. Again Causticum\ two drops night and morn- 
ing. At first great aggravation, which soon was followed 
by steady improvement and cure. 

Acne faciei : Eugen.jamb., Coniiim, Natrum mur. Baths 
with one-half to three-quarters of a pound of sea-salt, 
twice a week. 

{Record, 1873.) Acne punctata. Sulphur persistently. 
Acne pustulosa, NuxjugL, especially in strumous constitu- 
tions. Also Hepar. 

Looking at the medicinal rashes, the direct results of 



ANOMALIES OF SECRETION. 133 

the action of drugs, we find that the internal use of Iodine 
and Iodide of Fotassium^ of Bromide of Fotassium, of tar 
and perhaps other drugs, produces an acne eruption, and 
therefore they ought to cure it, where the other symptoms 
correspond to the individual case. 

Iodine indications: Scrofulosis, glandular affections, 
syphilis with tendency to hypertrophy ; an itching ele- 
vation on the nose ; suppurating ulcer on the left cheek, 
with swelling of the surrounding glands, and a hard no- 
dosity at the place which the ulcer occupies, dispersing 
very slowly. 

Iodide of Potassium : Painfully sensitive blotch on the 
cheeks, surrounded with swellino;s and ulcers ; several 
pimples on the chin and nose ; painfully sensitive pimple 
near the nostril ; profuse papulous eruption on the face, 
on the shoulders and over the whole body, occasionally 
with dryness of the throat. 

Bromide of Potassium. Yoisin {Gaz. des hopitaux, 1868, 
p. 603) speaks of ^ve phases. In the first place acne in- 
durata, chiefly seen on the face, chest and back. Second: 
acneiform pustules, with a depressed umbilicus in the 
centre, their base being very hard ; these oblong swellings 
are produced by a crowding together of enlarged sebaceous 
glands distended with sebum, which is of more or less 
milky aspect. It is almost of the nature of crowding 
together of molluscous tumors. Hale {New Remedies., 3d 
edition, p. 80) gives : erythematous swelling of the nose, 
a papular rash on face . and nose, with heat and itching ; 
acne-like eruption on the face, neck and shoulders ; acne 
in young persons ; the secretion of the skin is reduced in 
proportion to the anaemia of that tissue. 

The tar acne is well known. The phenomena occasioned 
by tar may be divided into such as result from the im- 
mediate application of fluid tar, and second, from the action 
of air impregnated with the vapor of tar. In the latter 
case an eruption is formed over the whole surface of the 



134 DISEASES OF THE SKIN. 

body, and the face especially is the seat of numerous 
comedones, interspersed with an eruption, of acne; the 
lower extremities are also partly covered with comedones, 
partly with acne papules and pustules, which in places 
reach the size of a hazelnut. Acne is very frequent in 
tar factories. (iJ^eumann, l. c, 198.) We have already 
remarked that Kafka found Petroleum efficient in acne 
rosacea. Hale mentions acne under Carbolic acid, but we 
would prefer a proving of tar itself, so that its symptoma- 
tology could be clearly defined. 

Xerosis — Xeroderma, 
A diminution of the sebaceous secretion may take 
place and the skin becomes dry, harsh, inflexible and 
cracked. We may have either roughness alone or scali- 
ness of the skin (Fox puts it therefore under ichthyosis), or 
the normal fat is removed from the skin, and it becomes 
rough and cracked, as seen in washerwomen and domes- 
tics from the too frequent contact with soap or lye. Such 
patients regain their normal skin after friction with oil 
and suspension of their occupation for a season. 

Affections Characterized by Hypertrophy and 
Degeneration. 

Lupus. 

We may divide and subdivide diseases in text-books, 
we may group and classify according to our own ideas, 
but nature does not acknowledge our vain labor. Thus 
acne rosacea and lupus erythematodes Germanorum are 
transition-forms from diseases of the sebaceous glands to 
the class now under consideration, and we find therefore 
such transition-forms put by difi'erent authors into difiTer- 
ent classes. 

Fox (l. c, 369) considers lupus not a pure hypertrophy 
but a neopiasma, as the disease is characterized by an in- 
filtration of the skin, with a new cell growth, which is 



LVPVS. 135 

capable of undergoing organization, and after a while is 
removed by interstitial absorption or by ulceration. The 
neoplasma takes the form generally of tubercular eleva- 
tions, forming by their close approximation larger and 
smaller patches, which leave behind in process of cure in- 
delible cicatrixes. Lupus runs a chronic course, and is 
especially prone to attack the skin of the face. 

Wilson {I. c, 369) takes opposite ground, and under- 
stands by the term lupus a strumous degeneration of the 
tissues of the skin, attended with more or less hypertro- 
phy, with absorptions and with ulceration, such morbid 
phenomena originating in a constitutional condition or 
diathesis. Bazin also considers lupus a malignant scrofu- 
lide, and Cazenave agrees with him. 

Yolkmann {N. A. J. of H., 19, 440) and Yirchow agree 
with Fox, and consider lupus a neoplasma, consisting of 
cell-proliferation. This large accumulation of prolifera- 
ting cells pressing away and destroying the layers of the 
cutis, and often the deeper lying tissues also, is char- 
acteristic of lupus. N^eumann {I. c, 331) finds the 
histological condition of lupus varying according to 
the stage of the morbid process, but consisting mainly 
in a cell-infiltration of the corium, and he describes the 
changes as follows : The cells of the rete Malpighii 
have granular contents (fatty or pigmentary mole- 
cules) ; the corium becomes spongy and its volume is 
increased ; the papillae are a little elongated and increased 
somewhat in breadth, and in some places remain normal ; 
the fibrinous meshes are larger than in the healthy state. 
Within them we find a network of delicate connective- 
tissue fibres. The corium is in places moderately filled 
with uniform roundish and oval cells. The subcutaneous 
connective tissue becomes thickened ; the fat-cells are 
either less abundant or have entirely disappeared. The 
sweat-glands are preserved, capillaries and lymphatics en- 
larged, sebaceous glands present in small numbers. Simi- 



136 DISEASES OF THE SKIN. 

lar inliltrations are found in the subcutaneous cellular 
tissue. 

In speaking of the etiology of lupus, Wilson {Lectures 
on Dermatology^ 1873, p. 197) remarks on case 656: 
Hillairet designates this case as one of lupus ; but as in 
England we reserve that term for scrofulous ulceration, I 
have preferred to speak of it as chronic ulcerative syphilis. 
McCall Anderson (1. c. 5) also puts his cases of lupus vul- 
garis and erythematodes under the head of strumous 
affections. Hillier {t. c, 194) acknowledges that very 
little is known about the cause of lupus, and that the 
disease is regarded by most authors as due to a diathesis 
closely allied if not identical with scrofula. 

Franklin {Surgery II., 834) leans the same way by put- 
ting lupus among the diseases of the lymphatic system, 
lupus non exedens being mostly seen in persons of a scrofu- 
lous diathesis. 

Helmuth {Surgery., 488) joins the other party, and with 
the German dermatologists considers lupus a merely 
local inflammatory process, as its chief characteristics are : 
no constitutional irritation, the healthiness of the integu- 
ment up to the very margin of the sore, the absence of 
swelling, infiltration and redness, no fetor, the location 
of the disease and its dark-brown or blackish crust. 
ITeumann and Yolkmann acknowledge that a large num- 
ber of the forms of lupus may be associated with glandu- 
lar enlargement, caries and necrosis, and that in children 
lupus often depends on scrofula ; but still just as often 
lupous children come from parents who enjoy perfect 
health, and a large part of the cures of the disease occur 
in persons who are otherwise healthy and strong, and 
where it would be impossible to prove a dyscrasic or a 
special diathesis. 

All authors agree that lupus has nothing whatever to 
do with syphilis, either acquired or congenital. Hillier 
describes only two forms, lupus vulgaris and lupus ery- 



i 



LUPUS. 137 

thematodes, as both, involve the derma, cause interstitial 
absorption and atrophy of that tissue, and are both fol- 
lowed by a scar. They are distinguished by running a 
chronic course, and are especially prone to attack the 
face, which becomes of a dull-red color. 

Fox and Wilson describe three forms: lupus erythe- 
matodes, where the neoplastic deposit is slight and in the 
form of brownish-red spots or diffused non-nodular eleva- 
tions ; lupus nonexedenSy where the neoplasm forms dis- 
tinct tubercular elevations ; and lupus exedens or exul- 
cerans^ where the deposit passes over into ulceration. 

IN'eumann is right in considering the two latter as differ- 
ent stages of one and the same disease, and with "Willan 
and others he classes them together under the name lupus 
vulgaris. Such different stages are designated as lupus 
maculosuSy where we have only brownish-red spots ; lupu^ 
tuberculosus, where we find papules or nodules elevated 
above the skin, also of brownish-red color and in size from 
that of a pea to a hazelnut ; lupus ex/oliaticus, infiltrations, 
the skin appearing of a similar color and covered with 
lamellae of epidermis ; lupus exulcerans^ atonic ulcers, 
resulting from a softening of the infiltrations ; lupus hyper- 
trophicuSy new formations rising above the skin and fre- 
quently involving large portions ; lupus serpiginosus, large 
ulcers, extending peripherally. 

In order to prevent mistakes, the name lupus erythe- 
matodes ought to be stricken from the nomenclature 
of dermatology. The English physicians consider it as 
neoplasmata of a roundish form, of a deep-red color and 
shining aspect, without sensible elevation. The skin 
looks dry and shrunken. The morbid process creeps over 
the healthy skin, and the diseased surface becomes 
covered with thin adherent scales, the removal of which 
exposes a dry yet raw-looking surface, of gelatinous as- 
pect, which is apt to bleed easily. 

!N"eumann's first stage is lupus maculosus. What most 

11 



138 DISEASES OF THE SKIN. 

Germans used to call lupus erythematodes is now better 
known by the name lupus seborrhagicus^ given to it by 
Volkmann. We here find also irregular slightly swollen 
spots on the face, cheeks, nose, etc. The reddened skin 
is on some points covered by firmly-adhering, dirty-looking 
thin crusts, feeling fatty to the touch, and in reahty they 
consist only of the secretion of the sebaceous glands of the 
skin, discharged in abnormal quantities, with an ad- 
mixture of epidermic cells. If we scrape oif this fatty 
layer with a knife, the underlying skin appears red, sore, 
as if covered with fine warts, i. e. the enlarged excretory 
ducts of the sebaceous glands. This seborrhcea is only of 
secondary importance. The essential consists in the infil- 
tration of small cells, which are more numerously devel- 
oped only in the immediate neighborhood of the glands, 
thus producing a hyperplasia and an increased secretion. 
These infiltrations pass through the same stages as those 
we see in lupus vulgaris, and the flat, gritty scars, pitted 
in the centre, are characteristic of the lupus seborrhagicus. 

In lupu8 nonexedens (tuberculosus, exfoliaticus, hyper- 
trophicus) we find after removing the scales from any por- 
tion of a lupus patch that the part beneath is red, dry, 
shining and even raw, the upper layer next the cuticle 
presenting an appearance which has been termed " corni- 
fied." The process of healing is always attended with 
more or less loss of substance and sensibility ; the cicatrix 
is below the level of the adjacent surface. 

In htpus exedens (exulcerans, serpiginosus) the ulcera- 
tion varies in depth, being in some cases superficial and 
extensive, in others deep and circumscribed, and great 
disfiguration may result, as the nose and cheeks are the 
favorite seat of lupus. According to Hebra, lupus is only 
dangerous to life in those rare cases where epithelioma 
is developed from it after it has lasted for years. 

The prognosis of lupus is not unfavorable, as according 
to Yolkmann a cure can be promised in many cases, and 



LUPUS. 139 

this in a far shorter time than formerly. Internal spe- 
cifics there are none, accompanying constitutional dis- 
orders are only exceptionally seen, and in most cases every 
indication for internal medication is wanting. There is 
no objection to treating scrofulosis when present, but such 
treatment will fail to be of any influence in curing the 
lupus, which must be done by surgery. (Hebra considers 
reputed cures of lupus by internal medication as mistakes 
of diagnosis, for eczema squamosum, psoriasis, acne rosacea 
and even epithelial cancer have been mistaken for lupus.) 

The indications are two-fold : First, to remove all dis- 
eased tissue. Second, to produce resorption of the cellular 
infiltrations in those parts which are yet solid and rela- 
tively healthy. It is also of great importance to prevent 
any relapse, and as soon as any lupus nodule makes its 
reappearance surgical aid must be called in. 

Caustics are commonly used for the removal of tissues 
degenerated by lupus, and the most common in use are 
the caustic potash and the nitrate of silver in pencil form. 
Firmly adherent crusts must be removed beforehand by 
applying cloths soaked in cod-liver oil over them for a 
day or two, after which we bore the pencil into the soft 
lupous proliferations, which are easily pierced by it, and 
entirely deliquesce as soon as they come in contact with 
it. The nitrate of silver never acts as destructively as the 
caustic potash, which we must not allow to remain too 
long in contact with the parts to be cauterized, or else we 
will destroy the underlying layers of healthy tissue. 

Hebra recommends for superficial lupous ulcerations a 
salve of Arsenic 1.0, Cinnabar 3.0, lard 25.0. Such a salve 
will not injure the healthy parts, while destroying the 
soft lupous ones. After using the salve for three days, 
simple dressings only are needed. 

Yolkmann's radical treatment for lupus is very painful, 
and ether should be used during the operation. The 
lupous degenerations are scraped away with a sharp-edged 



140 DISEASES OF THE SKIN. 

scoop, and the infiltrated, hard and bluish, though nou- 
ulcerated nodules must be attacked with the multiple- 
pointed scarifications. This is performed with a very 
sharp-pointed small-bladed knife ; thousands of points are 
made closely together, about two lines deep or deeper, in 
the diseased parts of the skin, which frequently looks 
discolored after the pricking. The pricked places are 
then covered with lint, which is closely pressed in to stop 
the bleeding and left until its spontaneous falling ofi". 
These prickings are repeated at intervals of from two to 
four weeks. At first the knife enters easily the luxuriant 
tissues interwoven by cellular granulations ; after a while 
it finds more and more resistance, the skin becoming 
tougher and losing its abnormal redness and swelling. 
(Helmuth's Surgery, 493.) 

Fox Q. c, 375) also considers the local treatment of 
lupus more important than the general, but there are 
a proper time and proper circumstances under which this 
should be done. Caustics should be had recourse to when 
the deposit feature is well marked and when the lupus 
patch is not too sensitive and too hypersemic. During 
the first or congestive state, where the patch is tender and 
hot, it should be an essentially soothing one (calamine lo- 
tion with a little prussic acid and glycerine several times 
during the day and liquor plumbi painted on at night). 
If the patch shows some sign of extending, its edges ought 
to be touched by some caustic. But as soon as we deal 
with lupus tuberculosus, full cauterisation becomes im- 
perative. Modifying conditions are met in syphilized or 
strumous subjects, and internal medication must be joined 
pro re nata to the external treatment. 

During the first or congestive stage homoeopathic reme- 
dies might influence the diseased state of the skin and 
bring it back to its normal condition. 

Bashr {Op, cit, IL, 508) recommends Lycojpodium in 
recent cases, when the ulcerations do not penetrate too 



CANCEROUS AFFECTIONS. 141 

deeply, in pale, sallow patients ; Graphites in lupus of the 
nose, with deep ulcerations; Aurum mur. when lupus 
takes its starting point from the mucous membrane of the 
nose, spreading thence to the bones and cartilages and then 
to the skin ; in such cases Add. nitr. and Sepia may also 
be thought of. Against the second stage (lupus hypertro- 
phicus, tuberculosus), when of long standing, internal 
medication is fruitless ; in recent cases Conium^ Baryta., 
Graphites or Sulphur may be tried. The third or ulcer- 
ating stage defies internal medication; still Arsen., 
Sulphur, Phosphor., Thuya, Carb. an. and veg., Silicia, 
Kali bichr. or Alumina may be indicated in certain indi- 
vidual cases. 

Kafka (II., 488) cured a case of lupus serpiginosus by 
the methodical use of iodide of potassium, and another 
case of lupus exfolians facies with Phosphor., in increas- 
ing doses. 

Raue {I, c, 67) remarks that such a violent local de- 
struction must grow out of a deep constitutional disorder, 
and recommends Arsen., Caustic, Cicuta, Staphis. 

Maylaender {Int. Horn. Presse I, 43) endorses Volk- 
mann's surgery, and combines with it Mercur.^, but found 
that anti-scrofulous treatment does not eradicate lupus. 

The attention of physicians must also be invited to the 
use of the Hydrocotyle Asiatica, which has acquired great 
reputation in the hands of several East India physicians. 
-Boileau treated fifty cases of lupus with it (Brit. Jour, of 
Horn., XYI., 463), in all of which the disease was arrested 
in a very short time. 

Cancerous Affections. 

Lupus exedens. Ulcus rodens. Epithelioma. All three 
can be thrown together as malignant ulcers, especially of 
the face, and as neoplasmata they are even called cancer- 
ous ; but let us try to find out at first what cancer is. 

Dunglison used to describe it as a malignant growth, 



142 DISEASES OF THE SKIN. 

whicli, by its uninterrupted progress or its return after 
extirpation, destroys life. Our latest writers on histology 
consider carcinoma of local origin, and even deny a can- 
cerous diathesis in spite of the so often proven hereditary 
tendency of this disease, and explain the return of the dis- 
ease not as a real relapse, but as an uninterrupted growth 
of the neoplasm. (Feftel, N. A. J, of JT., xxii., 66.) Others 
again consider carcinoma always a constitutional disease, 
and make a clear distinction between carcinosis and ma- 
lignant tumors of local origin which are curable at least 
in their first stages. 

Continental observers make no distinction between 
epithelioma and rodent ulcer, but English surgeons diag- 
nosticate more strictly and define (Moore on ulcus rodens) 
the latter as a local ailment, being almost uninterruptedly 
continuous in its growth, from the solitary pimple in 
which it originates to an area of half the face. At the 
same time, however, that it has every local quality of 
cancer, it is so meagre a growth that it has no superfluous 
material for circulation in the blood to distant parts, and 
very little for the lymphatics and the textures nearest 
to it. 

Hutchinson defines it as " an ulcer with hard sinuous 
edges, situated on some part of the upper two-thirds of 
the face, of several or perhaps of many years duration, 
almost painless, and occurring in a middle-aged or elderly 
person of fair health and without enlarged glands." 

This comparative slowness of growth, the non-implica- 
tion of the glands, and the non-undermined edges, differ- 
entiate rodent ulcer from epithelioma. E-odent ulcer is 
as rare on the lower as epithelioma is on the upper lip. 
The parts by far the most liable to be afiected by the 
rodent ulcer are the eyelids and adjacent portions of the 
cheek, ^ext to them the nose is its favorite site, and the 
third in the list are the cheeks. If left to itself, it will 
slowly but surely advance both in extent and depth, and 



CANCEROUS AFFECTIONS. 143 

will probably destroy the patient's life in the course of 
from ten to twenty-five years, death being eventually pro- 
duced by the exhaustion consequent on suppuration, 
haemorrhages, pain, etc., and very probably aggravated 
by inability to take sufficient food owing to the diseased 
state of the mouth. The younger the patient, the more 
rapid will be the course of the disease and vice versa ; and 
the younger the patient, the more nearly is the disease 
allied to cancer and the more likely to recur after re- 
moval. (Hutchinson, Med. Times and Gaz.^ Sept. 1860.) 
Epithelioma is the common form of so-called cancer 
found in the lip, tongue, vulva, clitoris, penis and rectum. 
It afiects especially the lower lip, the scrotum (con- 
stituting chimney-sweeper's cancer), the glands of the 
groin, more rarely the rectum. It attacks men more fre- 
quently than women, and rarely occurs before the age of 
thirty-five or forty, and shows its malignant character by 
a tendency to return in a part after its removal and to 
affect the system through the lymphatics. In rare cases 
it may also be found in the internal organs. It is 
essentially an infiltrating disease, according to Thomas 
Bryant {Guy^s Hosp. Reports., 1863), beginning, as a rule, 
as a little wart or tubercle, and then gradually spreading, 
it may crack, fissure or ulcerate, and when this stage has 
been arrived at, we easily recognize its malignant charac- 
ter by the infiltration with the cancerous material, and 
the integument then presents the well-known indurated 
and everted edges ; these appearances forming a marked 
contrast to the condition of integument which has been 
ulcerated or ruptured by over-distension in a simple or 
innocent growth. This ulceration has an eaten-out ap- 
pearance, is roundish and bounded by hard, indurated, 
sinuous edges, which, in an advanced stage, are everted 
and undermined, in consequence of the extension of mor- 
bid action ; the base of the ulcer is dirty or greyish, more 
or less papillated ; it may be reddish and discharge a thin 



144 DISEASES OF THE SKIN. 

fluid, or be disposed to scab over (Tilbury Fox, Skin Dis- 
eases^ 383). 

In our studies we have observed that lupus, nearly with- 
out an exception, attacks only healthy and even robust 
persons, and that it never leads to infectious morbid states 
of other organs, except, perhaps, some adjacent lymphatic 
glands. Ulcus rodens shows itself to us also as a mere 
local disease, although already of a more malignant type ; 
while in epithelioma this malignancy becomes still more 
outspoken. 

Friedlsender ( Volkmann^s Klin. Yortrage^ iN'o. 64) con- 
siders all these neoplasmata as expressions of a local tu- 
berculosis^ as they, one and all, consist anatomically of 
closely crowded, often confluent, small tubercular nodules, 
with giant-cells and epithelial elements. He considers it 
wrong, therefore, to divide artificially what belongs to- 
gether anatomically, and the formation of nodules, as 
found in lupus, in fungoid inflammation of the joints, in 
the scrophulides of the skin and other ulcerative pro- 
cesses, may be studied together as local tuberculosis. 

Hardy also thinks that all these aflections possess cer- 
tain common characters. They all involve the derma and 
often the deeper layers. They are usually circumscribed 
to one region, not having much tendency to become gen- 
eral ; the ulcers have irregular " eaten" margins, not 
sharply cut, nor adherent to the parts beneath ; the floor 
is fungoid, bleeding or covered with pale, soft, sometimes 
exuberant granulations ; the cicatrices are depressed, with 
great loss of substance ; and their insidious course as well 
as the great tendency to deforming and destructive pro- 
cesses proves them to possess considerable local malignity. 

We know just as much of the aetiology of tuberculosis 
as we know of that of carcinosis. The treatment of epi- 
thelial cancer as well as of rodent ulcer, according to the 
old school, is summed up in one word — removal by the 
knife or by caustic, or by both conjoined, which is the 



ELEPHANTIASIS. 145 

better mode of treatment, and the employment of a 
thoroughly tonic plan of general treatment. (Chloride 
of zinc 5 iv., chloride of antimony 5 ij., starch 5 j., glycer- 
ine q. s. Use in ulcerous and tuberculous affections.) 

Gilchrist {Surgical Diseases^ 399) recommends for epi- 
thelial tumors: Acetic ac, Arg. nitr., Aurum, Chelid., 
Pulsat., Sulphur, Thuya. 

Helmuth {Surgery., 884) recommends the enucleation 
process of Marsden and McLimont, combined with the 
internal administration of Arsen., Hydras, or Phytol. 

Franklin {Surgery., II., 551) prefers the knife. 

We see thus that this whole chapter belongs rather to 
the domain of surgery than to that of dermatology ; still 
we would recommend in conjunction with electro-caustic 
treatment, the internal administration of well-chosen 
remedies, as for the rodent ulcer., Arsen., Bellad., Cicuta, 
Hepar, Hydrocotyle, Hydras., Mercur., l^itr. ac, Silicia, 
Staphis., Sulphur, Uranium ; for epithelioma of the lip., 
Arsen., Bellad., Clemat., Conium, Silicia, Sulphur; or for 
chimney-sweeper^ s cancer., Arsen., Carb. veg., Clemat., 
Laches., Ehus tox., Secale, Thuya, etc. 

Elephantiasis Grcecorum. 

Aretseus quotes as a reason for this name the resemblance 
of the tubercular and discolored skin to that of the ele- 
phant. It is also known under the name of leprosy or 
lepra arabum; and the chief seats of leprosy in recent 
times continue to be the same regions of Asia and Africa 
where it was originally seen and where it is known to 
have been most common in remote ages. 

Its characteristic cutaneous feature is the development 
of a neoplasma, resembling the granulation tissue of lupus 
or syphilis, which invades the fibrous structures and the 
nerves, and the disease has been therefore divided into 
elephantiasis tuberosa and elephantiasis ansesthetica. 

The earliest stage of the cutaneous (external as well as 



146 DISEASES OF THE SKIN, 

mucous) manifestation is hypersemic or erythematous, 
with the subsequent pigmentary change. ^N'ext follows 
the hypertrophic process, giving rise to prominent 
blotches, to papules and tubercles. To this succeed 
softening of the tubercles and ulceration, and lastly comes 
a process of disorganization and degeneration which 
results in the elimination of the flesh in the form of a 
transparent and viscid discharge, and enucleation of the 
bones divested of their covering tissues. (Wilson, Lectures^ 
p. 229.) The disease is sometimes ushered in by lassi- 
tude, drowsiness, slight shivering, oppression at the epi- 
gastrium and nausea ; there is an indefinite feeling of 
malaise, which may last from several weeks to many 
months ; finally there appears a dull-red discoloration, in 
patches, followed by little tubercular formations, slightly 
elevated, varying in size from that of a small pin's head 
to that of the palm of the hand ; these spots are round or 
irregular in form. From this moment the disease steadily 
progresses. In the early stage the sensibility of the parts 
may be increased in consequence of the pressure exerted 
by the blastematous effusion upon the nerves, but after a 
while diminished sensation sets in and increases until it 
becomes decided anaesthesia. After a time the spots fade 
and disappear ; subsequently they reappear on other parts, 
of a deeper color, and become more or less confluent. The 
eruption usually again slowly disappears, only to return ; 
and this alternation occurs several times, until at length 
the spots become permanent. The tubercles are most 
marked where there is much lax cellular tissue ; therefore 
about the face, nose, lips, eyes, mouth and ear. The se- 
baceous glands now take on a hyper-action, hence the 
skin is oily and shining. The increase in the develop- 
ment of the tubercles produces terrible deformity ; the 
surface feels thickened, knotty and uneven ; the face is 
completely altered ; the edge of the mouth and lips, the 
eyebrows, the alse of the nose, the eyelids are all distorted 



ELEPHANTIASIS. 147 

and thickened, the whole integument being dirty and 
sallow-like. Sometimes there is found a corrugated super- 
ciliary ridge, which gives a lion-like expression to the 
countenance, and suggested to the ancient Greeks the 
terms Leontia and Leontiasis, which are accepted syno- 
nyms of the disease. There is also pretty constantly 
associated with the tubercular growth of the superciliary 
ridges the loss of eyebrows. In other cases the ears — 
satyr-like — are deformed by tubercles. "When the lower 
limbs are affected, the disease is generally most marked 
about the lower part of the thigh and ankle. Darting 
pains are often felt in the limbs and the lymphatic glands 
are frequently swollen ; the tubercles themselves are not 
painful, but on the contrary sensibility is diminished in 
them. After an uncertain period the mucous membranes 
are involved ; on the tongue and mouth spots and patches 
appear, which often bleed and grow into tubercles ; indeed 
all the internal organs, with the exception of the pancreas, 
are finally affected, and the whole system becomes impli- 
cated ; ulcerative action is set up everywhere with extreme 
destructive tendencies ; finally diarrhoea from intestinal 
ulceration opens the last act of the drama and the patient 
succumbs to the marasmus. The disease may last from 
nine to twenty years and more, before death brings relief 
to the sufferer. 

Elephantiasis ancesthetica. The mode of attack is gener- 
ally more insidious, affects primarily the nervous trunks 
and very speedily leads to marked ansesthesia and sub- 
sequent destructive changes. Locally at the outset there 
are many subjective symptoms of heat, shooting, burning, 
pricking sensations about the hands or feet, with more or 
less weakness, followed by tenderness, pain and swelling 
along the course of the cutaneous nerves ; ending in numb- 
ness and insensibility to irritants and wasting of mus- 
cles. The integuments get parched, dry, shrivelled, per- 
haps covered by a clammy sweat, and desquamate. Coinci- 



148 DISEASES OF THE SKIN. 

dently or subsequently to this an eruption appears, con- 
sisting of erythematous patches, but especially of large- 
sized bullae, occurring on parts previously ansesthetic, 
which break, and their place is supplied by superficial 
ulcerations, which, after scabbing, leave behind white, 
hard, hairless and glandless patches of disease. These 
patches are the result of changes in the nervous supply ; 
they run one into another and vary in aspect from simple 
white atrophied circles to large " isolated but blended 
patches," with or without red vascular margins, passing 
through the stages in which the centre is first red, then 
brown or pale, and surrounded by a distinct pink border 
of vessels. The chief seats are the back of the hip, the 
front of the shoulder, about the elbows, on the forepart of 
the knee, over the temples, cheeks, trunk and limbs. 
The eruption is symmetrical and usually precedes the 
anaesthetic form. (Fox, I. c. 815.) Coincidently with this 
white leprosy the muscles waste away, the fingers become 
distorted, the face haggard, shrivelled, the skin mummi- 
fied or lax and loose. The conjunctiva are injected and 
vesicles are formed over them ; the lids become atrophied 
and the lashes fall out. The nasal mucous membrane 
becomes dry; ulcers form and destroy the septum. Pa- 
ralysis ensues in many of the muscles. The deeper parts 
now become affected and the bones suffer by interstitial 
absorption ; fingers and toes drop off*. During the course 
of the disease there is great thirst, moderate appetite, 
occasionally vomiting and pyrosis, a feeling of cold with 
torpor and drowsiness ; there is not so much diarrhoea or 
suppuration as in the tubercular form, and the patient 
dies eventually, worn out by exhaustion, or is cut off by 
some intercurrent disease. 

Bulkley (ITeumann, L c, 369) remarks, that three 
prominent circumstances will strike the observer, which 
illustrate perfectly the differences of the two varieties: 
First, the obstinacy of healing in the former and the readi- 



ELEPHANTIASIS. 149 

ness of the same in the latter. Second, the presence of 
pain in the former ; its complete and wonderful absence 
and of sensibility in the latter. Third, the tendency to 
rapid destruction in the anaesthetic variety and the per- 
fect preservation of the members in the tuberculous form. 

The pathological manifestation of elephantiasis is a 
cachexia associated with colloid metamorphoris of the 
tissues and their subsequent destruction. Thus, in the 
case of the skin, the whole thickness of the derma is closely 
studded with minute globular cells, some accumulated 
in small clusters and others irregularly dispersed. This 
colloid degeneration extends through the connective 
framework of the soft parts down to the fibrous envelope 
of the bones and periosteum, and subsequently isolates 
and enucleates them. This same degenerated matter in 
combination with serous fluid constitutes the copious 
glairy transparent discharge so common to this disease. 
A similar process, set up in the connective envelope of 
the nerves, in their neurilemmata, explains the destruc- 
tion of its normal composition, as well as the loss of sensa- 
tion and atrophy, and enables us to understand the spon- 
taneous amputation of limbs without pain. (Wilson, I. c, 
242.) 

In the treatment of leprosy, the first and most natural 
suggestion is that of changing completely the hygienic 
surroundings of the patient. Change to a better climate, 
to a more genial and more bracing air ; sufiicient exercise ; 
exhilerating occupation and associations; bathing and 
cleanliness; good, nutritous and sufficient food. Medi- 
cines : quinine, ferro-phosphates of quinine and strychnia ; 
mineral acids ; arsenical preparations ; of plants, the As- 
clepias gigantea, the Hydrocotyle Asiatica, the Chaoul 
moogra odorata, the Veronica quinquefolia. 

Norwegian physicians recommend a generous diet, with 
cod-liver oil ; internally sulphate of magnesia, arsenic, 
cantharides, iodide of mercury; and for the neuralgic 

\ 



150 DISEASES OF THE SKIN. 

pains tlie iodide and bromide of potassium. Locally they 
paint the larger prominences with the acid nitrate of 
mercury, and the smaller ones with a solution of potassa 
fusa and distilled water, one part to two ; while for effect- 
ing a similar purpose on the rest of the skin they employ 
baths of caustic potash and sulphuret of potash. In the 
anaesthetic form moxse and issues are applied to the spine, 
and internally the iodide and bromide of potassium. 

The Beauperthuy method of cure consists in a nutritious 
and generous diet, with good air and sufficient exercise, 
and the local application of the Oleum Anacardii occi- 
dentalis (turkish bath), and internally the perchloride of 
mercury in doses of ^V oi a grain, morning and evening. 
Aphthae and ulcerations of the fauces and mouth he 
touches with a solution of nitrate of silver, 5 J to i j., and 
for sanguineous discharges from the nostrils he injects a 
solution of alum. (Edematous swelling of the feet requires 
foot-baths of warm oil. (Wilson, L e., 250.) 

Kafka (L c, II., 483) considers internal homoeopathic 
treatment of no use whatever, but acknowledges that he 
has no experience in this disease. 

Hughes (Therapeutics) recommends the Hydrocotyle 
Asiatica, and refers to Andouit's provings in the XYI. 
volume of the British Journal., p. 461. 

Elephantiasis Arahum, 

Spargosis, bucnemia tropica, must not be confounded 
with the elephantiasis G-raecorum. The disease usually 
attacks the lower limbs, and is mostly confined to one of 
them, but it may affect the scrotum, belly, breast, pudenda 
and other parts. It is characterized by hypertrophic 
growth of the cellular tissue of the skin, giving rise to 
general enlargement and alteration in the aspect of the 
skin, so that it becomes tawny, hard, dark, livid, thick- 
ened, often scaly and fissured, whilst by and by warty 
points appear, so that the skin looks and feels like that of 

f 



ELEPHANTIASIS, 151 

an elephant. The disease lasts a variable time, attacks all 
classes, and is non-contagious (Elephantiasis Grr^ecorum is 
acknowledged to be extremely contagious). The disease 
frequently begins with febrile symptoms, darting pains 
and a feeling of tension in the course of the superficial 
lymphatics, which soon swell and form knotted cords, 
while the glands become swollen and tender. The super- 
ficial veins may also become hard and corded ; occasionally 
there is difi'used redness of the skin. The swollen parts 
are not so much painful as merely uneasy from tension. 
A repetition of fever occurs at certain intervals, and the 
size of the afi:ected part bears a direct relation to the 
frequency of the acute attacks of fever and local inflam- 
mation. At length the skin is white and shining, or it 
is of a dark color, much thickened and studded with pro- 
jecting veins. The lymphatic glands often suppurate or 
slough, the joints are sometimes invaded by chronic in- 
flammation and the skin may become covered with scales, 
as in ichthyosis, or unhealthy intractable ulcers may oc- 
cur. The muscles are often found pale and fatty, and 
even the internal organs are frequently in a state of fatty 
degeneration. 

The disease is chronic, and the prognosis depends more 
on the general state of health than on the local disease. 
Such cases may be greatly relieved by the judicious com- 
bination of diuretics, rest, firm and continuous bandaging^ 
together with mild mercurial friction of the limb. Con- 
tinuous pressure by bandages or plaster of Paris casings 
diminish the size of the limbs ; where ulceration takes 
place, it is a question whether amputation should not be 
performed. Vanzetti successfully employed compression 
of the arterial trunk supplying the affected part. 

Kafka {I. c. II., 482) treats the erysipelas, lymphangivi- 
tis or phlebitis, preceding this pachydrsemia, pro re nata 
and recommends for the disorganized cutis the internal 
use of Phosphor., Silicia, Sepia or Graphit., and externally 
compression from below upwards. 



152 DISEASES OF THE SKIN. 

Hebra recommends tight bandaging and a steady 
renewal of it as often as the bandage becomes loose. The 
fissures secreting a foul-smelling fluid must be cleansed 
with a solution of Chlorine or Kreosote. 

Franklin {Surgery^ IL, 831) mentions Arsen., Apis, 
Clemat., Grraphit., Iodine, Lycop., Mercur., Sulphur and 
Thuya as worthy of a trial, as also the Hydrocotyle. If the 
disease has been seen too late and the limb has acquired 
such enormous proportions as to threaten the bursting of 
the skin, a few punctures should be made with a sharp- 
pointed scalpel and the serum permitted to escape through 
the artificial opening. 

Toothaker {Nervous Diseases^ p. 197) recommends the 
external and internal use of Hamamelis, continued for 
some length of time. Much attention should be paid to 
the general state of health, as well as to the appearance 
of the diseased parts, the kind of pain experienced, and 
many other circumstances which may guide in the selec- 
tion of the appropriate remedy. In cases with ulcera- 
tion, Arsen., Laches., Silicia may be found useful ; for 
varicose tumors, Arnica, Laches., Pulsat. ; for indurations, 
Calc, Lycop., Phosphor., Silicia, etc. 

Furrel {Bibl. Horn., Aug. 1871) speaks highly of Myr- 
istica sebifera in elephantiasis. 

Sana (A. H. Z., 1873) reports several cases of ele- 
phantiasis cured by the continued use of Silicia in difier- 
ent potencies and steady compression with a flannel 
bandage. 

Keloid. 

Keloid is o. fibroid neoplasma of connective tissue, afiect- 
ing the surface of the skin in the form of white or pale 
red, cord-like elevations, commonly found isolated on the 
upper portions of the trunk or extremities, and sometimes 
on the face. Alibert distinguishes a true and a spurious 
Keloid ; the former is spontaneously developed without 
any known cause ; the latter develops from the cicatrices 



FIBROMA MOLLUSCUM, 153 

of burns and operations, and after small-pox, syphilis, and 
acne indurata, being especially frequent on the breast and 
back. The considerable amount of pain present dis- 
tinguishes it from an ordinary scar. The consequences 
are those which follow in general from contraction of the 
skin, and vary according to location, as permanent flexion 
or extension of the joints, hindrance of mastication, 
atrophy of the affected muscles, etc. 

The treatment of Keloid consists in improving the 
general health and preventing the irritation of the 
tumors. Fox recommends the continuous application of 
contractile collodion to the tumors, to which the hypo- 
dermic solution of morphia may likewise be applied for 
the relief of pain. 

Arsen., Caustic, Phosphor., Mtr. ac, Rhus tox., Silicia 
and Sulphur have been recommended on mere theoretical 
grounds, clinical verifications being still a great deside- 
ratum. Graphites ought not to be forgotten, as according 
to Goullon it produces absorption of cicatrices. ^ 

Fibroma molluscum. 

Fox {I. c.) describes two forms, fibroma simplex and 
fungoides. These new formations assume the shape of 
soft, purse-like appendages to the skin, from the size of a 
pea to that of a hazelnut, or even larger, attached by a small 
pedicle, and occurring singly or scattered over the whole 
surface. The region of the neck, the female nipples and 
labise are favorite locations for these growths ; the palms 
of the hands and the soles of the feet are almost always 
free from the disease. The fungoid, fibroma differs from 
the simple form by its tendency to ulceration, to rapid 
growth and to vascularity, and may become dangerous by 
gangrene and even cause death by marasmus or pyaemia. 
The microscope shows the tumor to consist of young 
gelatinous connective tissue, which forms large inter- 
stices, containing a yellow, expressible albuminous fluid, 

12 



154 DISEASES OF THE SKIN. 

traversed by a delicate, fibrinous net- work. There are 
also enlargements of the sweat and sebaceous glands, and 
increase of pigment in some tumors. 

Hebra recommends their removal by the knife, scissors, 
ligature, ecraseur or galvano-caustic loop, the consequent 
hemorrhage being easily controlled. Fox uses the acid- 
nitrate of mercury to the smaller, and the joint use of 
that remedy and the ligature to the larger forms. After 
applying the acid, an oxyde of zinc paste may be used to 
prevent too much irritation. 

Dudgeon (Hughes' Therap., 467) states that in a case 
under his care such tumors were disappearing under the 
action of Silicea and Lycopodium. As the fungoid fibroma 
also aft'ects children Calcarea ought to be remembered, 
especially the Calcarea-arsenicosa, as in the case mentioned 
by Fox, the whole of the tissue of the gums was enor- 
mously hypertrophied and the fingers markedly club- 
shaped. 

Dermatolysis, 

The fibro-cellular element is greatly increased and 
the skin hangs in loose folds ; there is little vascularity ; 
the sensibility of the part is diminished. Alibert men- 
tions five chief seats of the disease, viz., the eyebrows, the 
face, the neck, the abdomen and the labia ; but it may 
also affect other parts of the body. 

Bromide of ammonium is recommended by the old 
school. Thuya or Aurum may give some relief, according 
to their pathogeneses. 

NcBvus vascularis. 

Teleangeiectasia, a bright or dark-red or even purple 
tumor, according to its communication with arterial or 
venous vessels, varying in size and sometimes including 
superficially large portions of the body. As a rule they 
are congenital and consist partly of newly-formed capil- 
laries ; sometimes we find fatty and connective tissue be- 



PAPILLARY TUMORS. 155 

tween the vessels ; they enlarge slowly in height and 
breadth and are painless. Microscopic examination shows 
that the coats, calibre and radicles of the vessels are all 
hypertrophied and enlarged. 

Venous nsevi occur as prominent tumors of a purplish 
hue, smooth or lobated in outline, and somewhat compres- 
sible, doughy and inelastic to the touch. They are less 
exclusively confined to the upper part of the body, and in 
their structure consist of thin, tortuous and sacculated 
veins. 

The treatment of nsevi is purely surgical and electrolysis 
is now with most surgeons a favorite procedure. Where 
we have to deal with small tumors internal treatment 
might be tried before resorting to surgery. Hughes saw 
a neevus disappear under Thiiya^^. Calcarea must also be 
remembered. Bonhof {A. H. Z.^ 85, 197) gave Cundu- 
rango^ in a case of teleangeiectasy, and its administration 
was followed by inflammation of the diseased spot and 
then came drying up, taking about three weeks for a 
cure. 

Papillary Tumors, 

True papillary tumors are verruca, cornu cutaneum, 
condyloma and ichtyosis. 

Verruca^ warts, are a hypertrophy of the papillae of the 
cutis and of the cuticle which covers them. Sometimes 
the epidermis sinks more deeply between the individual 
papillse, whereby the surface acquires a lobulated appear- 
ance and the wart seems to be formed of several separate 
parts put together. Warts are rounded, filiform or fiat. 
The papillae of which they consist are either short or long; 
they vary in shape and are more or less numerous in each 
wart. Each papilla is supplied with a single vascular 
loop or loops, which come near the epidermis covering 
the papilla. 

Warts may be snipped ofi* and their bases touched with 
nitrate of silver, when they are pedunculated. When 



156 DISEASES OF THE SKIN. 

they have a broad base of attachment they may be touched 
with strong nitric or acetic acid ; the latter may be rubbed 
up into a paste with lac sulphuris. A good application 
to the warts of children is a mixture of equal parts of dilute 
hydrochloric acid and muriated tincture of iron. Plumbe 
advises a small piece of cantharidal plaster to be bound for 
a day or two on the crown of the wart with adhesive plas- 
ter, when it will be found to be soft and moist, with a lit- 
tle ring of vesiculation around its base. It may then be 
picked off to the level of the skin, when caustic ends the 
affair. 

Helmuth {Surgery^ 497) emphatically declares that it is 
never necessary to apply either nitric acid or lunar caustic. 
Internal medication is the most certain means for the 
eradication of warts. To accomplish this end the medi- 
cines are Calcarea, Causticum, Dulcamara, jN'atrum mur., 
^Nitric acid, Rhus tox.. Sepia, Thuya and Sulphur. He has 
often succeeded in the removal of warts by giving Calcar.^, 
two grains every night for a week, and following it with 
Thuya^, two drops night and morning, and applying 
Thuya in tincture to the wart at night. 

Kafka {I. c. 11,^ 483) remarks on verucosis^ where larger 
and smaller warts in great variety form on the hands, that 
such a state can be removed by the methodical use of 
Thuya, Mtric acid, Calcarea or Sepia. Begin with Thuya^, 
a dose morning and evening for hard warts covered with 
a layer of horny epidermis, and touch, in the morning after 
washing and at night before retiring, the warts with a 
solution of Tinct. Thuya dil. 1st. 5 i., Aq. dest. Spir. vin. 
aa. ^ j. The patient must not dry the hands, but must 
allow the fluid to dry up. Nitric acid suits soft warts 
covered with a less thick epidermoid layer, but for exter- 
nal use the acid must never be mixed with alcohol, as 
thus the acid would be chemically decomposed. Sepia 
suits for large and hard warts ; Calcarea for the smaller and 
softer ones. 



PAPILLARY TUMORS. 157 

Antimonium crud. has cured smooth soft warts, especially 
on the neck, hands and arms (0. M. and S. i?. v. 5, 147). 

Holcombe {N. A. J], of H,, X/F"., 17) praises the use of 
carbonate of magnesia, two or three grains three times a 
day for a' long time, as this succeeded where all external 
applications failed. 

Phytolacca internally and externally has eradicated 
verucosis, and the warts did not return. 

Horns are usually made up of hypertrophied papillae, 
each containing one or more vessels, and being covered 
by epidermis ; on section they have a granular texture 
pierced with small orifices, and when dry, numerous con- 
centric cracks. They are in fact only largely developed 
warts, and are most common on the hairy scalp, forehead 
and temples, more rarely on the face and extremities, least 
often on the body, especially in women ; their growth is 
slow and without pain. The treatment consists in the 
total removal of the growth at its base, together with its 
matrix. When this is completely accomplished there is no 
need of cauterization. 

Condylomata are also hypertrophied papillae covered 
with epidermis. They are more vascular and softer than 
warts. They are met with on the inside of the thighs, on 
the perineum, about the anus, on the glans, or in corres- 
ponding situations in the female. They assume a great 
variety of shapes and depend upon the irritation of the 
discharges of gonorrhoea or syphilis, together with the 
natural perspiration, usually occurring in persons of dirty 
habits. Some of them have broad pedicles, some narrow ; 
they may be cleft many times at their summit (mulberry- 
like) and are often compressed and flattened by the pres- 
sure of two opposing surfaces of skin. Mucous tubercles 
resemble condylomata in anatomical structure, so that they 
are called by some authors flat condylomata. 

Excision is considered by many writers the only treat- 
ment necessary to a cure, but Jahr ( Venereal Diseases, p. 



158 DISEASES OF THE SKIN. 

152) found mere external treatment insufficient and recom- 
mends for broad, flat, bean-shaped condylomata, Thuya, 
Nitr. ac. ; for elevated, cauliflower, raspberry-shaped, 
Thuya ; for fan-shaped, Cinnabans ; for pedunculate, 
Lyeop., Nitr. ac. ; for cone-shaped, Merc. sol. ; for dry. 
Thuya, Merc, sol., Merc, cor., Lycop., Nitr. ac, ; for moist, 
suppurating, Nitr. ac, Thuya., Sulijh., Eu2:>hras. ; for soft, 
spongy, Sulph. 

According to their locality, when first manifesting 
themselves on the glans, Nitr. ac. Thuya, Cinnab., 
Lycop., Sulph.; on the prepuce. Thuya, Nitr. ac, Lycop., 
Merc. cor. ; on the scrotum. Thuya ; on the anus. Thuya, 
Euphr., Merc. cor. 

Ichtyosis is a disease characterized in part by a moderate 
accumulation of epidermal matter, and in part by a hyper- 
trophy of the papillary layer and thickening of the whole 
corium, with an alteration in the cutaneous glands. The 
chemical constitution of the epidermic cell is altered ; 
there has been formed an excess of the inoro-anic ino-redi- 
ents, generally with an excess of fat and a decided trace 
of iron with phosphate and carbonate of lime, and in some 
cases silicea (Simon, Hautkrankheiten). 

The scales of true ichtyosis may be thin and mother-of- 
pearl colored, adhering firmly in the centre, while the 
periphery is free and arranged in polygonal patches, 
{ichtyosis nacrie of Alihert) or the epithelial masses are 
heaped on one another, dark-colored and likewise arranged 
in polygonal 'shapes {ichtyosis siynp)lex, serpentina), or the 
epidermal growth may form spines, within which the 
lengthened and narrowed papillae extend {ichtyosis hystrix, 
porcupine skin). The causes of this disease are unknown. 
In some families it is hereditary. Men sufifer more from 
it than women. Amelioration usually takes place in 
summer and during the years of puberty, and an aggrava- 
tion occurs daring winter. 

The scales turn frequently to a dark color, from dirt and 



PAPILLARY TUMORS. 159 

pigment ; the dorsal and extensor sides of the extremities 
and of the trunk are most frequently the seat of ichtyo- 
sis, and it becomes an obstacle to free motion. Sometimes 
the disease remains limited to small spaces, as the knees or 
elbows, and forms moderate deposits of dark-colored epi- 
dermal cells along the distributions of certain cutaneous 
nerves. 

Slight cases may last for years and not occasion much 
inconvenience save slight itching. Severe cases of it are 
incurable, painful, and lead sooner or later to exhaustion, 
and generally to tuberculosis. 

In the treatment of ichtyosis patience and perseverance" 
will be rewarded. Plumbe successfully treated two cases 
by strapping the affected parts tightly with adhesive plas- 
ter, which he then covered with a roller-bandage kept 
constantly moistened with cold water; the straps were 
changed every fourth or fifth day. Hebra recommends 
macerating the epidermis by the repeated use of warm 
baths, frictions with oily substances, as cod-liver oil ; and in 
more severe cases the green soap is recommended to be 
methodically applied [Schmiercur) and the patient wrapped 
in woolen CO verino;s. Hunt relies on J'owler's solution in- 
ternally, and externally he uses pure glycerine mixed with 
Fowler's solution, diluted if necessary. 

Kafka (l. c. 11.^ 481) recommends Phosphorus internally 
and externally, as in acne indurata, as the remedy pos- 
sesses near physiological relations to induration and 
hypertrophy of the skin. Iodine and Aurum deserve also 
to be recommended. Raue {l. c, 608) mentions Calc. carb., 
Clemat., G-raph., He par, Lycop., Petroleum, Plumbum, 
Sepia, Silic, Sulphur, Thuya. Rubbing with oil and 
afterwards taking a warm bath is best suited to remove the 
hard scales." Pratt {Tr. H. M. S. of N. F., 1870) relates 
a case of ichtyosis involving almost the entire body, 
especially the arms, thighs, legs and knees, which latter 
were covered with thick and horny scales, and cracks 



160 DISEASES OF THE SKIN. 

running in all directions. The function of the sebaceous 
follicles was entirely suspended ; scales that fell off were 
soon replaced by new ones ; there was no moisture on 
the skin. Arsen.^, three powders a day, and Sulphur^, 
twice a day, for about three months, resulting in a com- 
plete cure. 

There is a condition which has been described under 
the name of ichtyosis congenita, the whole surface of the 
body being covered with laminse of cuticle, loosely adher- 
ent to the cutis, which is unaltered. The children thus 
born have died in a few days. Hebra calls this affection 
ichtyosis sebacea neonatorum. 

Atrophy. 

Rokitansky understands by atrophy a removal of the 
elements forming a tissue without a proportionate replace- 
ment of the same, and this occurs either from a lack of 
formation of a sufficient number of elements or from the 
loss of more than are formed anew. Neumann (1. c, 301) 
recognizes a true atrophy where the elements have dimin- 
ished in size or shrunken, and a qualitative atrophy where 
the elements degenerate. Atrophy of the skin may take 
place from the pressure of tumors, rendering the cutis 
thin, shining and transparent, the lines and wrinkles dis- 
appearing ; the papillary layer also atrophies and the epi- 
dermis finally ruptures, leaving the rete Malpighi exposed. 
We may also have atrophy of the skin in consequence of 
chronic cutaneous disorders or after exhaustive diseases 
like typhus. 

The senile alterations in the skin consist principally 
in a diminution of the tissue of the cutis, which results 
from a contraction of the same, so that it becomes thinned, 
and this is generally accompanied with changes in tex- 
ture which are designated as fine granular degeneration, 
senile shrinking, vitreous degeneration, etc. These retro- 
grade metamorphoses are in harmony Avith the disturb 



ATROPHY, 161 

ances of nutrition of old age in general, which depress the 
whole organism. To the senile changes also belongs a per- 
ceptible diminution in the elasticity and extensibility of 
the skin. (I^eumann, I. c, 314). 

One of the most interesting atrophies of the skin is the 
atrophy of the bulbs of the hair of the scalp, which always 
causes a falling out of the hair (calvities^ alopecia). It may 
be congenital, accidental or normal (senile). The former 
is rare ; generally downy hair studs the surface and proves 
the existence of bulbs, though in an inactive state. Second, 
accidental and partial, as in parasitic diseases, or general, 
from such causes as lower the vital tone. Third, senile. 
When the bulbs become atrophied, but do not perish en- 
tirely, the formation of hair may not cease entirely, but 
instead of a natural growth we see only thin, short, 
slightly curling apologies, known under the name of 
lanugo. 

In alopecia senilis, as well as in calvities pr£ematura of 
young persons, the hair begins to fall out just on the crown 
of the head and on the temples, while that on the back of 
the head, and the beard, may continue to grow during the 
whole of life. Kolliker asserts that the falling out of the 
hair in old age depends upon an obliteration of the capil- 
laries of the hair-papillse, and on atrophy of the cerebro- 
spinal and vaso-motor nerves ; but according to others the 
follicles merely become smaller and contain downy hairs. 
N^eumann found both the hair-follicles and the root-sheaths 
shrunken, the cells of the outer at first increased and 
afterwards diminished in number, or with a fatty de- 
generation, and surrounding a fine hair whose root is like- 
wise greatly thinned and pigmented, while the sebaceous 
glands are very considerably enlarged and are located be- 
neath the fundus of the hair-sac. (Parasitic hair diseases 
will be treated of in the chapter on parasites). 

Kafka {I. c. II., 486) acknowledges that all treatment 
is futile if we wish to accomplish a restitution of the atro- 



162 DISEASES OF THE SKIN. 

phied hair-bulbs. In partial atrophy, showing itself by 
lanugo, he advises to shave off all these little woolly hairs 
and to rub into the scalp morning and evening some pure 
Cologne water or a solution of liquid Ammonium caust. 
(5 i. to ^ iiij. distilled water). 

Where the hair has fallen out in consequence of severe 
diseases (loss of vital power) nutrition is at a low ebb, but 
with a restitution of strength the bulbs may also recover 
and a new growth of hair appear. For the defluvium 
capillarum Cale. carh.^ or Natriim miir.^ are valuable reme- 
dies which ameliorate the constitutional relations and 
rouse up the sunken energies. A nutritious diet and 
fresh air are our best adjuvantia. Where the patients are 
extremely weak and reduced the use of Cinchona is neces- 
sary, and we may also externally apply a solution (Tinct. 
Cinchonse 5 i. aq. dist. ^ iii.). Where high grades of anng- 
mia should require Ferrum we may also use it externall}' 
(Ferrum acet. grs. iii., aq. destil. ^ iii.). 

The premature turning grey of the hair is caused by loss 
of pigment and has happened suddenly, or it may gradu- 
ally take place. Landois believes that this disease stands 
in immediate connection with some affection of the nerves, 
which, as they frequently exercise a depressing influence 
on the whole organism, and can thereby produce chronic 
or acute diseases, may also occasion a disease or a turning 
grey of the hair. For this turning grey Pfaff recommends 
Sulphur internally and frictions with the yolk of an egg^ 
which, as is known, contains sulphur and iron. Lycop.^, 
Graphite^, or Hyosc.^ may perhaps retard this disorder; 
but Kafka has most confidence in I^atr. mur. internally 
as well as externally, which caused in some cases a restora- 
tion of a fine crop of hairs. Hughes ( Therap, 469) found 
Phosph. ac. serviceable when the falling of the hair re- 
sulted from general or local debility. Where syphilis 
might be suspected Fluor, ac. may be thought of. In non- 
Byphilitic cases Mr. Hunt leads us to expect great things 



DISEASES OF THE NAILS. 163 

from Arsen. Teste promulgates some curious experi- 
ments with Aloes, which in the sixth dilution produces 
and cures falling of the hair in adults. Raue {l. <?., 37) 
gives the following therapeutic hints : Kali carb., with 
great dryness of the hair; Hepar^ Phosph., Sepia., Silic. 
after chronic headaches ; Kali carh.^ Nitr. ac. after nervous 
fevers ; Fhosph. ac. after great anxiety and grief. Besides 
these compare Amhra, Amnion, carb., Baryta carb., Calc. 
carb., Conium, Graphit., Lycop., ^N'atr. mur., Sulphur, Zinc. 
French physicians recommend for accidental alopecia to 
mix a drachm of Tinct. of Phosph. with one ounce of 
Castor Oil, the bare spot to be rubbed with this mixture 
three times a week for half an hour each time, after the 
skin of the head has been thoroughly cleansed with warm 
water without soap. 

Diseases of the Nails. 

The nails may also suffer from hypertrophy, atrophy 
and deg-eneration. 

o 

In the hypertrophy of the nsiih (onychopyphosis) the 
nails may increase in length and become curved inward, 
or they may be augmented in thickness. All the nails 
may be affected or only individual ones ; they grow rough 
and uneven, lose their shining appearance, become sepa- 
rated from their matrix or break into longitudinal or 
diagonal clefts. According to Virchow we have either 
large lamelliB of nail heaped on each other, with interstices 
surrounded by horny layers (medullary spaces), or the 
whole nail acquires a conical or cubic form. The nail-bed 
becomes shortened and the nail itself contracted. Finally 
we have talon-shaped nails, in which the anterior portions 
crumble away. IS'ails may even sometimes curve spirally 
(Neumann, I. c, 285). 

Graphite shows among its symptoms a thickening of the 
finger nails; also Aluraina, Calcarea, Mercur., SabadiL, 
Sepia, Silic, Sulphur. 



164 DISEASES OF THE SKIN. 

Atrophy of the nails^ accompanied with change of struc- 
ture, is more common in the toes than in the fingers ; the 
nails lose their lustre and smoothness and do not grow. 
They seem to be made up of layers lying one on the other, 
the upper being shorter than the under layer ; they are in 
substance dryer and more brittle. By degrees portions are 
broken off, and in this way the upper and then the under 
layers are removed. Before the nail is entirely lost there 
often remain for a considerable time small irres^ular fras;- 
ments near the base of the nail. This condition — another 
retrograde metamorphosis — is sometimes met with in old 
people, although it has been observed in young people. 

For this breaking, peeling off and splitting of the nails the 
study of the following remedies is advised: Alumina, 
Curare, Graphit., Mercur., Sepia, Silic, Squill., Sulphur ; 
for falling off: Antim., Arsen., Helleb., Mercur., Secale, 
Sepia, Squill., Thuya. 

"We must distinguish simple onychia from the parasitic 
or malignant form. The former is characterized by the 
usual symptoms of inflammation, which is commonly set 
up on one side of the nail, in the angle of the tissue in 
which it is implanted. There is no discharge of pus, the 
nail gradually loosens, becomes dark-colored, shrivelled, 
and finally is completely detached. A new nail soon 
makes its appearance, but is liable to be badly shaped. 
Gilchrist {l. c, 297) recommends Arnica, Silic. or Sulphur, 
and when occurring traumatically, in the absence of any 
specific taint, he relies on Arnica. Jahr recommends 
Hepar as almost specific, after which Lachesis acts well ; 
and if ulceration should have set in, Silic. or Sulphur. 
Where the phlegmonous inflammation attacks the lym- 
phatics and the pains run in streaks up the arm, Rana 
bufo has often given relief. Fluor, ac. has hardly ever 
disappointed us in the treatment of simple onychia, ex- 
ternally applied (1 to 20), and the 30th or 200th potency 
internally. 



FAVUS. 165 

I*arasitic Diseases of the Skin, 

Hogg, in his monograph on the "parasitic origin of skin 
diseases " regards the following as of a fungoid or parasitic 
origin: favus, trichoses furfuracea, alopecia, sycosis, chlo- 
asma ; hut very considerable differences of opinion exist 
among authorities as to the part pla^^ed in certain cutane- 
ous affections by vegetable organisms. Fox and Bennett 
consider the fungus as a something superadded to the dis- 
eased condition, "an eruptive disease plus a parasite." 
Others, on the contrary, consider the fungus the sole cause 
of the disease and give a generic name to each fungus 
(Kuchenmeister). 

Porrigo favosa, porrigo lupinosa, favus dispersus, tinea 
favosa (achorion Schbnleinii). * 

Prof. Bennett writes : " I believe that the pathology of 
favus is best understood by considering it essentially to 
be a form of abnormal nutrition, with exudation of a 
matter analogous fo, if not identical with, that of tuber- 
cle, which constitutes a soil for the germination of crypto- 
gamic plants, the presence of which is pathognomonic of 
the disease. Hence is explained the frequency of its 
occurrence in scrofulous persons, among cachetic or ill-fed 
children, and the impossibility of incubating the disease 
in healthy tissues, or the necessity of there being scaly, 
pustular and vesicular eruptions on the integuments pre- 
vious to contagion. But, assuming the possibility of 
inoculation in healthy persons, it follows that the mate- 
rial in which the vegetations grow, may, at the commence- 
ment, in a molecular exudation, be formed primarily or 
secondarily ; that is, there may be want of vital power 
from the first, as occurs in scrofulous cases, or there may 
have been production of cell forms such as those of pus 
and epidermis, which, when disintegrated and reduced to 
a like molecular and granular material, secondarily con- 



166 DISEASES OF THE SKIN. 

stitute tlie necessary ground from which the parasite de- 
rives its nourishment and in which it grows." 

Tinea favosa or true favus is characterized by sulphur- 
colored, dry incrustations of varying thickness, sometimes 
disposed in the form of cups and sometimes in a more 
irregular manner. The crusts have a peculiar mouldy 
odor, somewhat resembling that of mice. It occurs on any 
part of the skin on which hairs are found, but its favorite 
seat is the scalp. The crusts are almost entirely composed 
of fungoid filaments, epithelial scales and broken hairs, 
have an outer concave and inner convex surface, and are 
lodged in depressions in the skin corresponding to their 
thickness. When the crusts stand isolated, the disease is 
called /a^;w5 dispersus^ when confluent /a?; ^^5 confertus. 

The first form of the disease — the favus dispersus (or 
dissenAnated) — is the more common, and there is in the 
beginning an increased production of cuticle round one 
or more hairs ; occasionally there is a small red ring. 
The hairs thus surrounded lose their glossy character, 
become dull and are changed in color. A little later, 
small yellow concretions of the size of millet-seeds appear, 
attached to the under surface of the epidermic scale around 
the hair ; the hairs become still more changed and are easily 
pulled out. At first there is no central depression, but a 
spherical elevation traversed by a hair ; this increases in 
size, maintaining its circular form and assuming a central 
cup-shaped depression. This cup-shaped mass is an indi- 
vidual favus, whose outer layers are of deeper color than 
the central ones, which turn pale. The separate favi may 
go on increasing till they measure half an inch in width. 
After a time the circular form is lost, the outline becomes 
irregular, and contiguous masses run into each other, and 
in this way the whole scalp may be invaded (favus circu- 
laire coherent). There may be intermingled with this 
characteristic and peculiar material, spots of blood and 
pustules. At a later stage permanent baldness ensues 



FA VUS. 167 

from the destruction of the hair follicle and its papilla ; 
the scalp is then left pale, smooth, shining and rather hard to 
the touch. In the second form (favus nummularis) the dis- 
ease attacks circular patches of hair instead of single hairs. 
The excessive production of epidermic scales is more 
marked ; the hairs, for a, short distance up their shafts, 
are surrounded by them ; they are white and form an 
adherent network of a gummy appearance (favus squa- 
mosus, tinea furfnracea). 

In a third form the affected parts have not a circular 
outline, but are irregular and elongated. It seems as if 
the parasite in this case developed itself upon the shafts 
of the hairs, on which it forms for some distance a net- 
work uniting them strongly to each other. The tendency 
of the favus masses, when left to themselves, is to exhaust 
the parts which they aifect by destroying the hair. (Hil- 
lier, l. c, 257.) 

The fungus is the achorion Schonleinii according to 
most authorities, although Ilebra and Hutchinson make 
all parasitic skin-diseases depend on a single fungus, being 
led to this opinion from the clinical experience that com- 
presses and bandages used as water-dressings frequently 
produce favus, herpes tonsurans and even a combination of 
the two. IsTeumann considers with Hillier that the achorion 
is a morbidly altered penicillium, which, by virtue of its 
great power of acclimatization, is more suited than many 
other nearly-related fungi to vegetate on the human skin ; 
but the apparent differences in the fungi found on the 
skin depend almost wholly on the food or noulishment 
supplied, whether the pabulum contains more or less of a 
saccharine, albuminous or nitrogenous material, etc. 

The general health of favus patients is said to be good, 
but constitutional symptoms are marked in most cases, 
and, whenever there is a deranged state of health, we find 
it associated with enlarged lymphatic glands of the neck 
or of the mesentery, and lung mischief. Uncleanliness, 



168 DISEASES OF THE SKIN. 

bad food, bad living, damp dwellings necessarily exert 
their influence upon such patients. Hebra lays much 
stress upon the feature of dirtiness as a cause of favus, and 
observes that this accounts for its rarity among the upper 
classes of society. The disease is always a chronic one, 
and cleanliness, good food and fresh air the necessary con- 
ditions for amelioration. Favus patients need good food 
and plenty of fat. Cod-liver oil and iron are therefore 
favorites in this disease. Locally, the hair must be cut 
«hort, the crusts removed by soaking with oil or hyposul- 
phite of soda lotion, or, if preferred, sulphurous acid 
lotion, or they may be loosened and in chief part got rid 
of by poulticing. When the scalp is cleansed the hairs 
must be extracted and parasiticides applied at once, as, 
for example, of hyposulphite of soda ^ iii, dilute sulphur- 
ous acid ^ J, water q. s. ad. ^ xvi. A certain portion of 
surface should be cleansed each day, the whole head being 
meanwhile kept moistened with sulphurous acid lotion. 
When the number of parasites has been diminished, the 
air may be excluded by the free use of ointments after 
a good application of some parasiticide. The after 
baldness must be remedied by stimulation, though it is 
impossible in some cases to induce the growth of hair, 
from the fact that the hair papillae have been completely 
destroyed by the inflammatory action set up by the fun- 
gus. (Fox, l. c, 432.) 

Although Kafka decries all internal homoeopathic treat- 
ment and relies more exclusively on parasiticidal means, 
Teste (Diseases of Children, 200) considers the treatment 
of this aftection the triumph of homoeopathy. Sulphur., 
Dulcam.y Viola trie.., Oleand.., Hepar form the basis of the 
therapeutics appropriate to the difl:erent shades of this 
exanthem. Sulphur and Dulcam. are especially adapted 
to -the humid form of the disease in children of blonde 
and fresh complexion. Viola trie, may be alternated with 
either when the itching is very violent. Oleand. is 



FAVUS. 169 

indicated if the eruption is characterized by intense 
itching and by an insupportable nocturnal burning after 
scratching the head, and if at the same time the mesen- 
teric glands appear to be affected, which is seen in the 
swelling, hardness and tension of the abdomen, as well as 
in the stools, which are sometimes hard but more fre- 
quently loose and undigested. Hepar sulph. corresponds 
to cases where the exanthem, instead of being limited to 
the scalp, extends to the nape of the neck or the face, and 
to cases also where ophthalmia supervenes, with or with- 
out ulceration of the cornea, etc. 

As therapeutical hints for the application of other 
remedies may be given : 

Arsenicum. The scalp is found perfectly dry and rough, 
covered with dry scales and scabs, extending sometimes 
even over the forehead, face and ears. 

JBromine. Malignant scald-head, oozing profusely ; in 
places where the skin is dry, large numbers of flakes are 
thrown off; extreme tenderness of the scalp; unbearable 
smell of the eruption. 

Calc. carh Scabs are thick and cover a quantity of 
thick pus ; the scabs are large, even one-half of the entire 
scalp being covered with a single scab. 

Cornus circinnata. Dry and moist tinea. Scrofulosis, 
with dry spasmodic cough, or tedious chronic cough with 
mucous expectoration. 

Graphites. Exudation of clear glutinous fluid, forming 
moist scabs. 

Lappa major (Arctium lappa). The scalp is covered with 
a greyish-white crust and most of the hair is gone, the erup- 
tion extending over head, face and neck ; moist, bad-smell- 
ing eruption on the head of children ; swelling and sup- 
puration of the axillary glands. 

Mezereum. Dry eruption on the head with intolerable 
itching, as if the head were in an ant's nest. White, 

13 



170 DISEASES OF THE SKIN. 

scaly, peeling-oif eruption over the scalp, extending over 
the forehead and temples. 

Phosphorus. The denuded scalp presents the appearance 
of clearness, whiteness and smoothness. 

Vinca minor. Spots on head, oozing moisture, matting 
the hair together ; the hair falls out in single spots and 
white hair grows on it. 

Arsen., Baryta carb.. Bromine, Calcar., Dulcam., Hepar, 
Graphit., L3^cop., Mercur., Phosphor., Oleand., Rhus tox., 
Petrol., Sarsap., Staphis., Sulphur, Yiol. trie, have cured 
some obstinate cases, where even depilation failed to 
eradicate the disease. 

Tinea Tonsurans. 

Porrigo scutelata, Trichoses furfuracea, Herpes tonsurans, 
ordinary ringworm of the scalp. Parasite, Trichophyton 
tonsurans. 

Hogg {I. c, 46) is convinced that ringworm, as well as 
favas, is due to a deranged state of health, and does not 
originate in the epidermis, nor in the hair, but in the or- 
gans of secretion. The vegetation is a secondary product, 
and therefore, if attention be paid to the general health 
and constitutional treatment resorted to, the most invete- 
rate case of ringworm can be cured. Good air^ good food 
and tonics always starve the parasite^ and the soil in which 
it grew and flourished no longer nourishes it ; the erup- 
tion gradually disappears and the hair resumes its healthy 
growth. 

Tinea or herpes tonsurans occurs amongst the rich as 
well as the poor, and is seen not uncommonly in the lower 
animals, where favus is rare. It has many points of anal- 
ogy with favus : like it the disease cannot exist without 
the presence of a parasitic growth ; it is contagious, but 
will not occur in every person exposed to the contagion ; 
it is also a chronic disease, its most intractable symptoms 
being dependent on the changes effected by the plant in 



TINEA TONSURANS. 171 

the hairs and the parts concerned in their formation ; like 
favus it may occur on the body or limbs as well as on the 
scalp, but is most difficult to cure when it attacks the 
hairy scalp. 

]^eumann {I. c, 429) gives three forms: First, herpes 
tonsurans vesiculosus, which appears in the form of small, 
punctate vesicles, with clear contents, arranged in a cir- 
cular form, which dry a few hours after their appearance, 
leaving small, thin scales and crusts, ^ew vesicles are 
continually formed in the immediate neighborhood, and 
in this way the disease extends peripherally, so that the 
circumference is formed of vesicles and the centre of thin 
scales. Sometimes several of such circles join together, 
and, if the eruption disappears at the point of contact, we 
may have serpentine lines, as in psoriasis. Second, herpes 
tonsurans maculosus takes the form of pale-red spots, hav- 
ing a small, whitish scale in the centre ; they increase 
peripherally while they pale in the centre, thus presenting 
a picture similar to erythema annulare. Third, herpes 
tonsurans squamosus, which is the last stage of the two 
former when occurring on hairless parts, is in the form of 
scales, mostly arranged in circular shapes. 

Herpes tonsurans on the scalp presents the following 
changes: The hairs fall out or break off on circumscribed 
spots, and the scalp becomes covered with thin scales or 
crusts which come off easily. The fungus is found both 
between the cells and the epidermis, and also in the hairs 
and the root-sheaths. The hair becomes lustreless and 
brittle, loses its elasticity, and appears filamentous at the 
point of fracture. 

The causes operating on the development of herpes 
tonsurans are various. Heat and moisture are favoring 
elements ; we therefore frequently find the disease after 
long continued use of moist compresses, especially when 
they have not been kept very clean. The wet cloths 
so frequently employed around the region of the stom- 



172 DISEASES OF THE SKIN. 

ach and loins by hydropaths, produce ringworm, and fre- 
quently ulceration ensues after a protracted use of such 
bandages. This disease is frequent in children and some- 
times all the pupils of an institution will be affected. 
Damp dwellings and the wearing of linen not perfectly 
dried, are common causes, and as a rule, in the dwellings 
of such patients, we find a growth of mould elsewhere, 
as on garments, boots, etc. 

The observation of Hebra has been confirmed that 
herpes tonsurans and favus can be produced by one fun- 
gus, and that the penicillium. Hallier also considers the 
trichophyton as a moniliform arrangement of the spores 
of penicillium, a product of the dust fungus of the mil- 
dew (ustilago). 

Herpes tonsurans will disappear with the use of the 
following means, even when it has existed for a long time. 
In slight cases the affected spots are caused to vanish en- 
tirely by vigorous friction with potash soap (Schmier- 
seife). If the disease is very extensive, we will succeed 
more quickly by rubbing on the soap and allowing it to 
dry upon the skin. We may also obtain success with the 
spiritus saponis alkalinus. If the herpes tonsurans has 
lasted long and there is infiltration in consequence, tar 
should be applied to the afifected parts after the friction. 
Washing with benzine, solution of borax, petroleum, bal- 
sam of Peru, or with a weak solution of carbolic acid, 
gives good results (Neumann, 431). 

Hogg on the contrary directs particular attention to the 
general health, employs a tonic regimen, and the irritation 
and eruption speedily disappear. 

Fox {l. c, 435) refers to three things as necessary for a 
cure : First, to alter the soil so as to render it less suitable 
to the growth of the parasite. Second, to destroy the para- 
site. Third, to remedy the consequences of the attack of 
the parasite. As regards the soil, we find that ringworm 
attacks most frequently children of a lymphatic tempera- 



TINEA DECALVANS. 173 

ment, children who are at least thin, fair and pallid. They 
are in the habit of taking very little fatty matter with 
their food, or, if taking it, assimilate it badly. We must 
therefore remove this dyspeptic condition and hepatic 
torpor. Plenty of fresh air, extreme cleanliness and other 
hygienics (meat and milk diet) have to be attended to. 
The digestive organs must be put in good working order, 
so that the cod liver oil can be digested. To attack the 
parasite, the hair must be cut short, and as many as pos- 
sible of the diseased hairs removed by epilation, although 
this involves trouble and takes time. In all cases the 
head should be well washed with mild soap two or three 
times a week. In severe cases the ordinary vesicating 
fluid ought to be brushed lightly over the patch, and 
when it begins to smart, dried off with blotting paper. 
If much irritation, pain or swelling follows, a poultice 
may be applied for an hour or two. This procedure may 
be repeated every three, four or five days, until in fact we 
get rid of all hairs visible to the naked eye which look 
diseased. 

Hughes ( Therapeutics^ 462) treats ringworm of the face 
with Sepia or Tellurium^ and hardly ever fails to cure it 
speedily thereby. Toothaker {l. c, 155) recommends 
Calcar., Caustic, Clemat., Mangan., Mtrum, Rhus tox , 
Sepia, Sulphur, and remarks that in the treatment of the 
different varieties proper attention should be given to the 
condition of the various secretions and functions of the 
body, as well as to the constitutional and other dyscrasias, 
upon which the proper selection of the remedy is always 
more or less dependent. 

Tinea Decalvans. 

Porrigo decalvans, alopecia areata. Parasite, Micro- 
sporon audonini. 

Tinea decalvans is considered to be of a non-contagious 
nature, although persons living under the same roof and 



174 DISEASES OF THE SKIN. 

the same unfavorable conditions of health are often seen 
to he affected at the same time. This alopecia always 
appears in isolated patches, and the denuded spots are left 
clean and polished and of a marble whiteness. Although 
it may begin in the head, it commits strange vagaries, in- 
asmuch as it moves about, leaving a spot in the whiskers 
bare, and passing on to the eyebrows, where another spot 
is denuded. The progress of alopecia is frequently rapid, 
and occurs in children and adults. It is an evidence of 
lowered vitality when the cutaneous surface very readily 
proves to be a congenial soil for the growth of a parasitic 
vegetation (Hogg, L c, 48). The hairs around the bald 
patch are more or less dry, come out readily, and are seen 
to be bulbless and tapering at their roots towards a point. 
Under the microscope, in some instances, at intervals on 
the shaft are collections of minute spores, and also in the 
little masses of epithelium that stick to the hair. In 
parasitic alopecia the hair follicles are visible, there is not 
any diminution of sensibility more than is due to the in- 
activity of the follicles, and there is often antecedent ery- 
thema with concomitant scaliness over the bald patch, 
whilst the loss of hair is in strong contrast to a vigorous 
growth — often of dark black hair around — on a head with 
a good crop of hair. 

Fox {l. c, 462) blisters all patches that are rapidly on 
the increase with blistering fluid, pulls out a few hairs 
around the patch, if they are at all loose, and then rubs 
in for ten days or a fortnight bichloride of mercury oint- 
ment (gr. ii. to ^ i.), and finally stimulates with ^ux 
vomica, cantharides ointment or lotion. Internally he 
prescribes iron, cod liver oil, bitters, etc., as the special 
nature of each case may require. Hogg saw it readily 
cured in young persons, indeed susceptible of a spontane- 
ous cure, but obstinately persistent in the adult. He con- 
siders Arsenic one of the most efiicient remedies, and in 
most cases its use has been attended with excellent results. 



TINEA SYCOSIS. 175 

Among remedies homoeopathic to tinea decalvans we 
may study the following : 

Aloes. The hairs come out in lumps, leaving bare patches ; 
eyelashes also fall out ; patient suffers from frequent head- 
aches. 

Arsenicum. Bald patches at or near the forehead. The 
scalp is covered with dry scales or scabs. 

Vinca minor. The hairs fall out on single spots, and 
white hairs grow there. 

Jahr {Clinical Guide ^ p. 194) mentions : When the hair 
falls off on the sides of the head, Graphit., Phosph. ; on the 
sinciput^ Arsen., ^Natr. mur., Phosph. ; on the vertex^ 
Baryt., Graphit., Lycop., Sepia, Zinc; on the occiput, 
Carb. veg., Petrol., Phosph., Silic. ; on the temples, Calcar., 
Kali carb., Lycop., Il^atr. mur.; for some places getting bald, 
Canthar., Jodium, Phosph. Some physicians of our school 
recommend the outward application of tincture of phos- 
phorus, gtt. iii. to ^ xvi. distilled water. 

Tinea Sycosis. 

Sycosis menti, Mentagra. Parasite, Microsporon men- 
tagrophytes. 

Willan describes sycosis as an eruption of inflamed but 
not very hard tubercles, occurring on the bearded por- 
tion of the face and on the scalp in adults, usually clus- 
tering together in irregular patches. The disease com- 
mences slowly ; at first small red pimples are seen about 
the chin and in the beard ; these gradually increase, and 
running together break, and a yellowish watery discharge 
exuding mats the hairs ; in a short time the pustules in- 
crease, coalesce and form crusts that much resemble the 
inside of a fig, from which circumstance it derives its 
name. The disease is inclined to become chronic and at- 
tacks other portions of the body, especially those parts 
freely supplied with sebaceous glands. It is known also 
to attack the eyelids and cheeks of females as well as 
males. 



176 DISEASES OF THE SKIN. 

]N"eiimann (I. c, 435) wishes us to diiFerentiate between 
the parasitic form (herpes tonsurans barbce) and the non- 
parasitic form {folliculitis barbce). In parasitic sycosis 
the hairs are first affected, while in the ordinary form 
they do not alter until afterwards, that is, when the exu- 
dation into the follicle has become purulent. The seat of 
the tubercular trichomycosis is at first the same as in sim- 
ple mycosis, and does not extend deeply into the skin 
until later, and rarely into the subcutaneous cellular tis- 
sue ; the tubercles are distributed over the chin, cheeks, 
upper lip and submaxillary region. In simple sycosis the 
hair-follicles and corium are involved and the subcutaneous 
tissue afterwards takes part in the inflammation. Ordi- 
nary sycosis may remain confined to one spot for months 
or years, while the parasitic variety makes rapid progress. 
He considers epilation absolutely necessary. Fox and 
Anderson also consider epilation and the consequent use 
of parasiticidal lotions the only means for its eradication. 
Hogg on the contrary admits sycosis menti to be a con- 
stitutional affection, even a neglected dyspepsia will 
greatly aggravate or prolong the disease, and considers, 
therefore, local applications as rarely of any use. The 
glandular structure of the skin is an important element 
in modifying and changing the aspect of the disease. 

Kafka {L c, II., 463) recommends, after cutting off the 
hairs, epilation and softening of the pustules and crusts 
with oily rags. He gives internally Mercur. prcecip. ruber^, 
a dose morning and evening, and uses a mild ointment of 
red precipitate on the sycotic places. As often as fresh 
tubercles or pustules arise, epilation must be repeated, and 
the internal and external use of the red precipitate must 
be continaed till every tubercle and pustule is cured and 
no relapse takes place. In sycosis ciliarum the same 
treatment is indicated, even when there are already 
ulcers on the edges of the eyelids. 

Treatment will be found more difiicult and tedious 



TINEA VERSICOLOR. 177 

where infiltration has ah-eady taken place and where the 
tubercles stand closely together. Epilation is also here 
necessary, as we thus destroy the purulent focus at the 
bulb, but it is more painful and can only be performed 
gradually on account of the danger of erysipelas. After 
epilation the phosphorus liniment (Spir. Phosph. dil. 5 i., 
01. amygdal ^ i.) must be rubbed in two or three times a 
day and Phosph.} taken twice a day. "Where crusts are 
present between the tubercles they must be softened with 
oil, and in order to keep every thing clean and neat ablu- 
tions with soap every morning are advisable. 

Baehr {I. c, II., 505) considers "tolle causam" the first 
indication. If no amelioration follows after some time, 
he relies on Graphit^ or ®, which cured several cases. 
Acid, nitr., Silic, Oleand., Garb, an., Aurum mur. have 
been recommended, but have failed to afford the expected 
relief. He recommends after epilation Hebra's treatment, 
to rub into the affected parts a paste of Sulphur, Glycerine 
and Alcohol. Hughes {l. c, 468) mentions that in one 
case Tart, emet., externally and internally, was curative 
after the failure of Thuya and Antimon. crnd. 

Toothaker {l. c, 177) regulates his remedies in accord- 
ance with the general health and condition of the patient 
If these conditions correspond, Cicuta and Silic. may be 
given with hope of effecting a cure. 'Next to these, 
Antim., Arsen., Graphit., Hepar, Lycop., Sulphur, etc. 

Tinea Versicolor, 

Pityriasis versicolor. Chloasma. Parasite, Microsporon 
furfur. 

Chloasma often commences as little erythematous points, 
attended by itching, which is increased by warmth of all 
kinds. By and by we meet patches of a fawn color, which 
are slightly elevated, dry, rough to the touch, somewhat 
scaly at the edge, and from which branny scales can be 
rubbed off. They are chiefly met with on the parts cov- 



178 DISEASES OF THE SKIN. 

ered with flannel. It is especially common on the front 
part of the chest and ahdomen. If the scales he examined, 
their under surface will he found studded with little col- 
lections of spores arranged in heaps, and mycelial threads 
freely interlacing. The minute hairs of the part are more 
or less infiltrated and the fihres split up. It extends peri- 
pherally, and sometimes heals spontaneously in the cen- 
tre while it progresses on the circumference, thus forming 
a circinate eruption. It is essentially a disease arising out 
of a deranged or low state of health, although some der- 
matologists look upon it as a superficial chronic inflam- 
mation of the skin, especially in persons who sweat a 
great deal, seldom hathe, and wear tight-fitting under- 
clothing which are changed at long intervals. 

Tonics, regular living, good diet and change of air will 
effectually cure the disease. Fox {l. c, 466) recommends 
first of all to have the parts washed with yellow soap, 
then sponge with a little weak vinegar and water and 
apply freely a lotion composed of four or six drachms of 
hyposulphite of soda and six ounces of water. A hypo- 
sulphite bath once or twice, if the cure be obstinate, will 
aid us in the eradication of the parasite. 

Tinea Marginata. 

Tine circinata. Eczema marginatum, Ery thrasma. Para- 
site, Tricothecium. 

Eczema marginatum is often only a modified form of 
herpes tonsurans. It may be defined as circular patches 
of infiammation, induced by the growth equally in all 
directions of the parasite upon the surface of the body., and 
varying in severity according to the degree of luxuriance 
of the fungus and the degree of susceptibility of the skin 
of the attacked to inflame. Males are more subject to this 
disease than females, and it is found on the genitals, on 
the inner surface of the thigh, on the abdomen, around the 
anus, sometimes in the axillae and also on the legs of infants 



TINEA MARGINATA. 179 

wlio are wrapped up. It appears in the form of brownish- 
red circles and segments of circles, spreading peripherally, 
partly in an elevated border and partly with the formation 
of papules and vesicles, and which in the meantime heals 
in the centre. The longer the disease lasts the more is 
the skin thickened and infiltrated, and the more numerous 
are the scales on the periphery and the yellowish or 
brownish-red crusts resulting from scratching. 

An uncommon form of tinea circinata is that which 
consists of one or several large more or less circular or 
oval patches, often seated about the back of the hand or 
the front of the wrist, which have the aspect of eczema 
but without the infiltration and the free crusting, but with 
a well-defined edge, and particularly itchy. 

Where the disease has been transmitted from the horse 
or the calf to man, the diseased surface appears to be 
studded over with pustules in connection with much 
swelling of the patches. 

Eczema marginatum is tinea circinata occurring about 
the fork of the legs, and modified in aspect in consequence 
of the presence of heat and moisture in exceptional amount 
and the luxuriant character of the mycelium of the fungus. 
The disease begins as a red, scurfy, itchy spot, generally 
near the junction of the thigh and scrotum; as it increases 
in extent it festoons down over the thighs, the edge being 
well defined and often papular, the centre fading and 
assuming a brownish hue and giving off scales on scratch- 
ing. The disease may spread to the pubic region, the 
axillae and the hairy part of the chest. (Chinese, Bur- 
mese and Tokelan ringworm are only different species of 
one and the same disease.) 

In the treatment we must be prepared for the obstinacy 
of the disease, especially in those cases where the patient 
must continue his business. A rapid cure can only be 
obtained when we can keep the patient in bed and pro- 
tect the scrotum from contact with the thigh. The parts 



180 DISEASES OF THE SKIN. 

are rubbed with sapo viridis or spiritus saponis alkalinus, 
or in milder eases with a solution of carbolic acid in alco- 
hol ; they are afterward tarred or covered with the unguent, 
diachylon alb. ; a suspensory bandage must be worn for a 
long time after the cure and the parts often dusted with 
starch to prevent the frequent recurrences of the disease 
(I^eumann, l. c, 443). Fox {l. c, 457) always noticed the 
existence in such cases of a condition of system certainly 
not of good health. The attacked are perhaps pale or 
debilitated, or there are faults as regards hygiene or diet. 
Such a condition is to be met by remedies specially adapted 
to the lymphatic temperament, and sponging with hypo- 
sulphite lotion should be used to the parts of the skin 
around the diseased arena (3 v. or vi. ad § vi. of fluid), 
directing patients to use soap and water freely before 
applying this lotion, in order to get rid of the greasiness 
of the skin, which repels the watery solution. Linen 
rags soaked in the lotion should be kept applied night and 
morning for at least an hour at a time, covered over with 
oiled silk. 

On account of the lymphatic constitution, Jahr recom- 
mends Arsen., Aurum, Baryta, Dulcam., Ledum, Phosph., 
Petrol., Sarsap., Sulphur. 

Kafka {I. c, 11. , 447), acknowledging the obstinacy of the 
disease, recommends the steady and methodical application 
of Rhus tox.. Sepia or Graphit. In one very obstinate 
case a cure was at last accomplished by the internal and 
external use of Iodine (Iodine gtt. ii., aqua dest. 5 ii., 
Iodine^ two doses a day). Tepid baths aid in the eradica- 
tion of the disease. "Where the itching at night is 
unbearable, with sleeplessness. Sulphur^ or Arsen.^ ^ may 
procure relief. The chronic eczema ani finds a simile in 
Nitr. ac.^ or Garb. an.^. 

Bsehr {L c, II., 522) considers Staphysagria a great rem- 
edy in eczema marginatum; also Phus tox., Carb. veg., 
Graphit., Sulphur, Ly cop. 



TINEA TARSI. 181 

Tinea Tarsi. Parasite, Tricliopliyton. 

In the scabs and pustular discharges of patients suffer- 
ing from tinea tarsi, the spores and filaments like those of 
puccinia favi are found, with epithelium scales and pus- 
like granules. A vast number of poor children from the 
dirty, over-crowded tenement houses suffer from it ; also 
persons who habitually indulge in strong drinks and eat 
unwholesome food. The disease may remain confined to 
the eyelids or become associated with pustular conjunc- 
tivitis. The hypersecretion of the Meibomian follicles 
becomes a morbid product and destroys the cilia ; the eye- 
lashes drop out. At a later period the edges of the eyelids 
are covered over by dark-looking pustules and scabs, in 
which, among children of the poor, even pediculi are some- 
times found. In the chronic form of the disease a turnino; 
down and thickening of the eyelids completes the miser- 
able picture : the patient is then said to be blear-eyed. 

Tonics, cod-liver oil, good food and cleanliness are the 
remedies chiefiy to be relied upon. 

Amm. carb., Baryt. carb., Calc. carb., Lact. have puru- 
lent mucus in the lids ; pustules and vesicles we find under 
Lycop., Mercur., Hepar, Rhus tox.. Sepia. 

Ilepar. Inveterate blepharitis with purulent secretion, 
pimples around the eyes and eyelids, nightly agglutination. 

Mercurius. Chronic blepharitis; purulent ophthalmia 
with copious discharge ; pustules and scurfs around the 
eyes and on the margins of the lids. 

Nux vom.. The canthi are redder than the eyes ; nightly 
agglutination ; aggravation in the morning and after meals. 

Sulphur. Chronic scrofulous ophthalmia ; pustules, 
ulcers and scurfs around the eyes and on the lids. 

Thuya. Frequently repeated scrofulous ophthalmise; 
potbelliedness of children. 

Tellurium. Scrofulous ophthalmia, particularly inflam- 
mation of the upper eyelids, accompanied with lachryma- 
tion and itching and pressure in the lids. 



182 DISEASES OF THE SKIN. 

Mycatoma. Parasite, Chionyplie Casteri. 

The Madura foot, fungus foot of India and South 
America, morbus tuberculosis pedis. 

Fox {I. c, 469) describes it as a marked swelling of the 
affected part — generally the foot, though it may be the 
hand or even the shoulder — which is studded over with 
little soft buttony elevations about the size of a pea, 
having a central aperture leading into a sinus, discharging 
black and white pustules with thin sero-purulent fluid. 
The soft parts of the foot are swollen, but the muscles 
are degraded and wasted, so that it is difficult to recognize 
them. Amputation of the part affected is the only treat- 
ment. 

Dr. Ch. McQuestin, of San Francisco {Pacific Med. 
and Surg. Journal^ April, 1874), treated, during his resi- 
dence in Mexico, several cases of fungous disease of the 
foot. The characteristics of the diseased parts consisted 
in a swelling and induration of the integuments and a 
fungous growth sprouting out from innumerable apertures 
at the top, bottom and sides, the top of the foot being 
more thickly covered with the fungus than the other parts 
while the toes were free from the disease. The sinuses 
communicated with the bones and discharged a viscid 
secretion. After amputation the patients rallied quickly, 
although they were extremely emaciated when entering 
the hospital. 

Onychomycosis, 

Onychia parasitica. An affection of the substance of the 
nail, produced by fungus, and presenting the following ap- 
pearance : the nail generally assumes the shape of a claw 
curved over the end of the finger, and ends anteriorly in 
a thickened extremity. Its surface becomes rough and 
uneven, the color dirty-yellow, and the whole nail is 
readily movable in its bed. We also find transverse fis- 
sures of more or less light color, and yellowish spots in 
the centre and on the under surface. The nail flakes off 



ONYCHOMYCOSIS. 183 

readily and is shed in crumbling masses. The nails may 
appear parasitically affected, as a complication in several 
of the varieties of tinea already described (favosa, tonsu- 
rans, circinata, decalvans), or may exist as an independent 
condition. In the former case it would seem that the 
crufsts or scales get beneath the nails from frequent 
scratching of parts thus affected, and that the fungous 
elements, finding there the proper condition for their de- 
velopment, penetrate the nail-substance, whereby the lat- 
ter is loosened and suffers the alterations described. Both 
the powdery and crumbling masses, as also fine sections 
of the yet dense substance of the nail, show chains of coni- 
dia, with clearly marked nuclei and here and there free 
cells. This condition of the nail may not only be pro- 
duced in the persons suftering from tinea, but also in 
those who attend to the head of children affected with 
ringworm. 

The usual treatment consists in scraping off some of the 
loose lamellae of the nails, then apply every second or 
third day some strong acetic acid to the seat of the 
change, the whole nail area if necessary, taking care not 
to make the matrix too tender, and then keep the nails 
soaked in a solution of hyposulphite of soda (5 iv. to 
"E vi.) water. Persevere nee with the lotion will certainly 
cure the disease. Local baths of caustic potash and cor- 
rosive sublimate (gr. ii. to ^ i.) and repeated frictions 
with turpentine are also recommended. 

For the homoeopathic treatment we refer to Dr. Hering's 
Analytical Therapeutics. Where it appears as a complica- 
tion, the treatment of the original disorder will also re- 
move the malignant onychia ; but where it appears inde- 
pendently, we would rely on Natr. suljph. for living in 
damp dwellings or workshops, pale appearance, tired in 
the morning with a dull headache, loss of appetite, chilly 
and feverish in the evening, a blister on the ungular 
phalanx, followed by a deep red swelling, festering at the 



184 DISEASES OF THE SKIN. 

root of the nail, great pain, more bearable out-doors than 
in the room. 

Sepia. With such as have tetters, felon changing hands, 
throbbing, shooting pains, sleepless. 

Graphit Superficial inflammation mostly at the root 
of nail ; violent burning, throbbing, then suppuration ; 
often open proud flesh. 

Hepar. Last joint hard, red and swollen, lymphatics 
inflamed, lump in axilla ; sensitiveness to touch and cold. 

Plica Polonica. 

Plica Polonica is in reality not a parasitical disease, but 
a peculiar felting of the hair, the result of neglect and un- 
cleanliness, in connection with which fungi ma}^ acci- 
dentally occur. The disease is usually confined to the 
head, but is sometimes met with on the chin, in the ax- 
illae and on the pubes. There is pain and great tender- 
ness of the scalp, which bleeds at the slightest touch. 
Hebra considers it not a distinct disease but an eczema 
or other skin affection much neglected ; the adherents of 
the fungoid theory on the contrary consider plica polonica 
originating in the presence of fungi from long-continued 
uncleanliness. The treatment is that of tinea favosa, and 
internally the remedies indicated for the general state of 
health. 

Myringomycosis, 

Otitis parasitica is the name given to the presence of the 
fungus aspergillus nigricans or flavescens, as also the 
graphium penicillioides in the external. The parasite is 
located deeply, and may exist for years without exciting 
any morbid phenomena. (Gruber.) 

Mycosis vaginalis 

refers to a pruritus dependent upon the vegetation of a 
parasite upon the mucous membrane of the vagina. The 
fungus is either the leptothrix vaginalis or vidium albi- 



SCABIES. 185 

cans, and can be transferred from one person to another 
by means of vaginal examinations, and may even excite 
an aiFection of the nails in the obstetrician: i. e., the dis- 
ease is contagious (Hausmann). A weak solution of 
sulphate of copper will destroy the parasite and cure the 
disease (I^eumann, I. c, 445). 

Animal Parasitic Diseases of the Skin {Ecto^oa), 

Scabies. 

Scabies, the itch, is an artificial eczema, occasioned on 
the one hand by the irritation of the acarus scabiei (sar- 
coptes hominis) and on the other by the scratching nail. 
The itch-mite is about -^ to -^ of an inch in length, 
just visible to the naked eye. By living in the skin of 
man it produces the disease known as the itch. The animal 
is tortoise-shaped, the head distinct from the trunk, with 
four pairs of jaws, eight legs, four in front and four behind ; 
in addition to the legs there are long bristles. The male dif- 
fers from the female in appearance as to the bell-shaped 
suckers on the ends of the legs, and also is not so large. The 
acarus lives in the skin, in little passages dug by itself, 
or just beneath the epidermis. These passages extend 
through the deeper layers of the epidermis, down to and 
into the true skin or rete mucosum. The acarus moults 
three times, not however specially changing in form ; the 
eggs are oval in shape, quite large for the size of the animal, 
and may be laid by the female to the number of fifty. 
The acarus is an air breather, and one of its peculiar in- 
stincts is the provision it makes for ventilating its dwel- 
ling-place. 

An acarus, when it gets on the skin, crawls till it 
finds a suitable soft place, when it tips up on its fore legs 
and commences to work its way in. The female as it 
progresses lays its eggs in the burrow, and when ex- 
hausted dies ; the eggs will be seen in a regular row 
behind the female in the burrow. These canals which 

14 



186 DISEASES OF THE SKIN. 

the female acari make have generally a serpentine form 
and are from ^^ to J of an inch in length, and we lind 
the mother itch-mite always at the blind end of the bur- 
row, where it dies. Around and beneath the burrow we 
find papules, vesicles and pustules, in proportion to the 
duration of the disease and the susceptibility of the skin. 
From the irritation caused by the acarus on the papillary 
layer and the young acari on the surface, we have the 
feeling of itching, in consequence of which the parts are 
scratched, the furrows laid bare, and the acari set free. 
The mite needs a delicate part of the skin to dig into — 
between the fingers for instance — and here the peculiar- 
looking burrows are fast sought for. In these parts the 
disease is first seen as solitary vesicles, and then it 
travels to the front of the forearm, the belly, thighs, 
and especially the upper line of the penis. Intermingled 
with the vesicles are papules and often ecthymatous spots, 
produced as a consequence of the scratching, whilst linear 
abrasions and cicatrices are likewise found. 

The acari may attack any portion of the skin, especially 
such parts as are much accustomed to pressure. In infants 
the larger number of burrows are found on the breast, ab- 
domen and extremities, and on the face and even the 
scalp, because all these parts come in contact with the 
nurse and may be infected from her. 

Fox (^..e., 420) gives the following diagnostic points: 
First, absence of febrile disturbance ; second, absence of 
rash from the face and head (as a rule) and its absence from 
the posterior surface of the arm or body ; third, the seat 
of the eruption, where the cuticle is thin; fourth, the 
isolation of the vesicles and their pointed shape ; fifth, 
the multiformity of the eruption, namely, the intermin- 
gling of papules, vesicles, pustules, scabs, and even small 
ulcers ; sixth, the itching at night and the peculiar linear 
scratches made with the nails .and fringed with dried 
blood; seventh, the cunniculus or burrow; eighth, the 



SCABIES. 187 

evidence of contagion or the existence of the same disease 
in a house or a family — it is in children that the greatest 
mistakes are made, simply from the want of knowing that 
scahies does not prefer their hands and arms but their 
feet and buttocks — ninth, the presence of acari among 
the crusts. 

Most dermatologists consider external treatment suffi- 
cient for the removal of the acarus, and thus for the cure 
of the itch. The long-contin ued application of warm water 
and soap to the skin swells up and softens the skin and 
renders it easily scraped or rubbed off; therefore a person 
suffering from itch must first thoroughly soak himself in 
hot water and rub all parts of the body which are the 
abodes of the mites with the strongest soft soap ; the more 
delicate the skin the shorter the time required. J^ext the 
common sulphur {styrax^ Feru balsam) ointment must be 
rubbed thoroughly over the body. This is fatal to the 
itch-mite, already exposed in whole or part by the burrows 
being broken down by the soft soap and water. If it does 
not produce too much irritation the ointment may be left 
on over night and removed by a hot bath in the morning. 
If one such application does not suffice it must be repeated. 

Wilson {Lectures on Dermatology) writes that, as the 
cause is local and as the art of curing disease is the re- 
moval of the cause, we shall have no need of internal 
treatment in scabies, but may confide in some of the well- 
known means of destroying the life of the animalcule and 
its ova. The acarus is highly and even painfully sensi- 
tive to the lethal influence of certain substances, among 
which, first on the list is sulphur, another is stavesacre, 
styrax, and so on. The acarus is an air breather, and fats 
and oils are known to suffocate air-breathing animalculee 
by getting into their spiracles and obstructing the aper- 
tures through which they receive air ; hence, greasy sub- 
stances alone are natural cures of itch. Wilson requires his 
patients to wash the whole body night and morning with 



188 DISEASES OF THE SKIN. 

sulphur soap, to use sulphur soap to the hands for ordi- 
nary ablution instead of common soap, to rub a little sul- 
phur ointment thoroughly into the hands, the wrists, and 
between the fingers at bed-time, and at the same time to 
smear a little of the ointment on any part of the body 
where there may be itching. There is no occasion to sus- 
pend the ordinary associations and avocations of the pa- 
tient. The quantity of sulphur ointment required for the 
cure of scabies is marvellously small, and its odor may be 
covered by a few drops of the essential oil of chamomile, 
which is also an acaricide. It is important that ablutions 
should be rigorous in respect to all articles of clothing ad- 
mitting of washing, and woollen garments must either be 
laid aside for awhile and sprinkled with sulphur or sub- 
mitted to the action of a high temperature. 

Teste {Diseases of Children, 184) prescribes for the itch, 
Lobelia inflata and Croton %^mm, administered alternately, 
and continued seven or eight days after the complete dis- 
appearance of the exanthem. The tincture of sulphur 
should be used only in case of consecutive ulcers, with or 
without loss of substance of the skin, and then its use 
should be preceded hy that of the two medicines which are 
mentioned as specifics for the itch. Lobelia^ should be 
given in water, three teaspoonfuls the first day, Croton^^ 
the next day in the same manner, and so on, every alternate 
day. The total duration of the eruption in ordinary cases 
will not be prolonged beyond a week. 

Eaue (I. c, 627) remarks (and is here in perfect accord- 
ance with the allopathist, Hogg) that all parasites, no 
matter whether animal or vegetable, can grow only upon 
a suitable soil ; if this soil be made insupportable to them 
they die or leave, and this is as good as killing them as 
regards getting rid of the intruders, and it is infinitely 
better for the patient, as by this means the organism is 
not injured but rather brought into a healthy state. 

Arsenicum. Inveterate cases ; eruption in the bends of 



SCABIES. 189 

the knees ; pustular eruption, burning and itching ; better 
from external warmth. 

Cai^bo veg. Eruption dry and fine, almost over the whole 
body ; worst on the extremities ; itching worse after un- 
dressing ; dyspeptic symptoms, belching of wind, and 
passing flatus ; after abuse of mercurial salves. 

Causticum. After abuse of sulphur or mercury ; yellow- 
ish color of the face, warts in the face ; involuntary dis- 
charge of urine when coughing, sneezing or walking ; 
sensitiveness to the cold air. 

Hepar. Fat, pustular and crusty itch ; also after previ- 
ous use of mercury. 

Mercury. Fat itch, especially in the bends of the elbows. 

Psorinum. Inveterate cases, with symptoms of tuber- 
culosis ; also in recent cases with eruptions in the bends of 
the elbows and around the wrists ; repeated outbreaks of 
single pustules after the main eruption seems all gone. 

Sepia. After previous abuse of sulphur ; itching worse 
in evening ; especially in females. 

Sulphur. Main remedy ; voluptuous tingling, itching, 
with burning and soreness after scratching. 

Sulph. ae. When itchiness of the skin and single pus- 
tules appear every spring, after imperfectly cured itch. 

Jahr {Clinical Guide^ 286) recommends for diy itch 
Mercur. and Sulphur alternately every four, six or eight 
days, until an improvement takes place or the symptoms 
change ; these new symptoms generally indicate Garb. veg. 
or Hepar, provided it is the dry itch, or Caustic, if a few 
pustules should have supervened. The symptoms which 
remain after Carb. veg. or Hepar. frequently yield to 
Sepia or Yeratr. For pustular itch give first Sulphur and 
Lycop. alternately, as above. If the itch should become 
drier, give Carb. veg. or Mercur. Give Caustic, once a 
day if Sulphur or Lycop. remain without effect. If 
Caustic, should not produce a change in two or three days, 
give a dose of mercury every forty-eight hours. If ulcers 



J90 DISEASFS OF THE SKIN. 

should form, give Clemat. or Ehus tox.; if the pustules 
should change to large vesicles of a yellowish or bluish 
color, give Lachesis. 

Bsehr, Hughes and Kafka, certainly three standard au- 
thorities, resort to the sulphur ointment as the most 
eifective mode of destroying the itch-mite. Hughes gen- 
erally uses Sulphur internally also as being thoroughly 
homoeopathic to the eruption, and recommends the study 
of Croton and Hepar. Kafka uses [N'ux vom.^, Lycop.®, 
or China\ where the patient in consequence of the long 
duration of the itch looks cachectic, emaciated, and becomes 
dyspeptic and melancholic. External treatment ought to 
be very cautiously applied in patients suffering from 
tuberculosis or heart-disease, as it may produce congestion 
to the lungs or heart, and thus cause haemoptysis or im- 
portant disturbances of the circulation. During menstru- 
ation, pregnancy or the puerperal state, no external treat- 
ment is advisable, inasmuch as the hot baths as well as the 
sulphur inunctions might produce hemorrhage or abortion. 

Frurigo Contagiosa. 

Army itch ; camp itch ; ground itch ; prairie itch. 

Jeffries, in his work on " Animal and Vegetable Para- 
sites^'^ p. 50, remarks, that not only the army itch, but 
also the so-called seven-years' itch, Jackson itch, et id 
omne genus^ are all due to the presence in the skin of one 
and the same animal, namely the acarus scabiei. During 
the march and in the field, soldiers have no opportunities 
for personal cleanliness, so as to prevent the contagion of 
the itch disease, and therefore it spreads with great ra- 
pidity by contact, and the effects of the mite's presence in 
the skin become severe. 

Searle {U, S. M. and S. J"., Oct., 1867), on the contrary, 
gives the following symptoms : Prurigo contagiosa ap- 
pears in the form of minute papules, sometimes white, 
like those of prurigo, and sometimes with the pinkish 



PRURIGO CONTAGIOSA. 191 

hue peculiar to lichen. Like the former its favorite seats 
are the neck, shoulders, back and outer surface of the 
limbs. It is rare in the face, unless in severe cases, and 
almost always spares hands and feet. In the course of a 
week after exposure to the disease, the patient on retiring 
at night is annoyed by an intense and persistent itching, 
aggravated by scratching and by the warmth of the bed. 
In severe cases there is with the itching a sense of formi- 
cation, as if insects were crawling over the surface and 
stinging it, or as if the skin were pierced with hot needles. 
As the apex of each papule is removed, a little blood ex- 
udes and forms a blackish crust or scale, beneath which is 
a minute red point. In cases of long continuance, large 
surfaces become abraded and form suppurating sores, re- 
ducing the patient to a condition of absolute wretch- 
edness. 

Dr. Searle has so far failed to detect any parasite even 
with a powerful hand-glass, and opposes the parasitical 
origin of the disease, because parasiticidal means have 
failed to remove or suppress the disease, and because it is 
speedily curable by purely internal treatment. He con- 
siders it of malarious influence, (but is not malaria a 
fungoid disease ? S. L.) which influence impresses the cuta- 
neous nerves and generates a contagious excretion in the 
manner already pointed out. 

A woman took a few baths of yellow dock and was 
cured. Since then the internal use of Rumex crispus has 
been tried with unwonted success, and Searle considers it 
the true specific for this horrible plague. 

Dr. Rowsey , in his prize essay on prairie itch ( Z7. S. M. 
and 8. *7., July, 1867), gives for this eruption the same 
habitats as we find in scabies, but says it differs from the 
latter by the exceedingly acrid and irritating fluid which 
the vesicles always contain. N^ausea and headache, with 
slight fever, sometimes precede the eruption (scabies is 
always an afebrile disease). During the progress of the 



192 DISEASES OF THE SKIN. 

eruption there exists dryness and heat of the fauces, 
mouth and lips. As the malady progresses, the whole 
economy gradually becomes more and more involved. 
The tongue assumes a dirty yellow coating, and is very dry 
in the morning. Eructations become frequent ; headache 
is often constant. The conjunctivae look congested and 
muddy. The appetite is variable, bowels constipated, and 
there is often an excessive secretion of very pale or reddish- 
brown urine, sometimes with, but often without deposit. 
The urine is strongly alkaline, and this reaction keeps 
pace with the eruptive disorder. Deep-seated aching pains 
in the lower extremities, as if in the bones, are some- 
times very troublesome, and are usually very hard to re- 
move. The entire glandular system is primarily affected 
in this disease. Although an intense itching is one of 
the most prominent characteristics of the disease, it is not 
a true skin disease (or neurosis of the skin). A specific toxic 
cause has altered and vitiated many of the secretions, and 
their elimination by the skin and kidneys begets this 
annoying affection. After vomiting or some marked de- 
rangement of the stomach, the itching becomes for a 
while almost unbearable. He recommends hot baths and 
strong country soap, and the best local application, judg- 
ing from the rapidity of the cure, is a lotion of the lye of wood 
ashes. This lye must be diluted with two or three times 
its quantity of rain water, and applied with a sponge to the 
diseased surface. Its strength must depend on the sensi- 
tiveness of the skin, and in this sensitiveness of the skin 
patients vary very much. As internal remedies he uses 
Kali carb., Rhus tox., Yiola trie. Ledum, Mezer, Staphis., 
Oleander, Thuya. Where every remedy fails, then nothing 
remains but to send the patient outside of the infected 
locality, when escape from the cause originating and sus- 
taining the disease will speedily effect a cure. (See p. 49.) 



PHTHIRIASIS, 193 

Phthiriasis. 

The acarus lives in the skin, the pediculus on the skin. 
There are three kinds of the latter : the pediculus pubis, 
phthirius ingainalis, crab-louse ; the pediculus capitis, 
head-louse ; the pediculus vestimenti, pediculus corporis, 
body-louse. 

The pediculus pubis or crab-louse resembles the head- 
louse, but is shorter and broader. It does not run about 
the surface, but grasps the hair close down to the skin 
with its fore-legs, which are provided with strong crab- 
like claws ; it deposits its eggs, the nits, on the hair close 
to the skin. The crab-louse lives on all the haired portion 
of the body except the scalp, which is the domain of the 
head-louse, and they never interfere with each other. 
The insect is transferred from one person to another by 
contact and by the agency of clothes, linen and beds. 

The head-louse is found exclusively on the hairs of the 
head; it attaches its eggs or nits to the hairs and excites 
an intense eczema, which may even extend to the neck 
and face, and is accompanied with great swelling of the 
lymphatic glands. This variety creeps about upon the 
head, and the eggs will therefore be strung along the 
whole length of the hair. 

The body-louse inhabits the clothing of uncleanly persons ; 
the effects produced by it on the skin vary with the 
duration of their presence. It deposits its eggs in the 
folds and seams of the clothes, and feeds by biting the 
skin nearest its haunt, namely, where the clothes come 
in most immediate and constant contact with the cutane- 
ous surface. Hence its ravages are seen on the neck, 
back, shoulders, around the waist and wherever bands or 
straps give a resting-place for the insects, an opportunity 
for the eggs to hatch undisturbed, and by lack of change 
of apparel a constant field for food. It is the constant 
wearing of the same clothes which affords a permanent 
home for these insects. According to the numbers present 



194 DISEASES OF THE SKIN. 

and the cutaneous sensibility of the individual infested 
will be the amount of irritation produced and the conse- 
quent amount of scratching. If the patients have had 
them only a short time, we find only papules and superfi- 
cial excoriations ; when the disease has lasted longer, the 
alterations on the skin are more intense and the excoria- 
tions greater, generally of a longish form ; they may 
reach even into the corium, forming pustules, furuncles 
and abscesses covered with crusts. These leave scars 
which, on their periphery are darker colored and in the 
centre lighter than the normal skin. Abscesses are most 
frequent about the loins and on the shoulders, that is, on 
those places where the lice are retained in the folds of the 
shirt or where the clothing presses. After long continu- 
ance of this affection the skin is stained of a dark-brown 
or slate color (melasma). 

The destruction of the pediculi is the only treatment 
necessary, but it is not so easy at all times to get rid of 
the irritation and its consequences. Fox (I. c, 410) recom- 
mends for the head-louse free and repeated washings with 
soap and water, and a weak ammonio-chloride of mercury 
ointment (gr. v. to ^ i.) to which some essential oil (lav- 
ender) or a few drops of Kreosote may be added, for the 
destruction of the lice. Hebra recommends to saturate 
the head for a day with petroleum, bound over with a 
cloth, with a good washing of soap and water to follow. 
The nits may be destroyed by the use of a weak acetic 
lotion (1 to 10 or more) and by free washing. 

A very good plan for the destruction of crab-lice is to 
drop a few minims of chloroform on a layer of cotton 
wool, and apply the latter to the part attacked by the 
pediculi, confining the vapor by a towel ; the pediculi are 
thus killed and may be washed away. It only then needs 
the application of a mild staveacre ointment or bichloride 
of mercury lotion (gr. ii. to i vi.) once or twice, or 
a weak vinegar lotion, to be followed up with a good 
washing or two, to get rid of all that remains of them. 



S YPHILITIC ER UPTIONS. 1 95 

For the pediculus vestimenti our treatment is at first 
directed against the clothing, which has to be disinfected 
in an oven at a high temperature ; the patient only 
requires good warm water and soap baths to cleanse the 
skin. If much irritation is left behind, alkaline baths 
and subsequent inunctions with oil will be of service. 
The secondary eczema must be treated upon ordinary 
principles. 



CHAPTER IV. 

VII. SYPHILODERMATA OR SYPHILITIC ERUPTIONS. 

The answer to the question "what is syphilis?" still 
awaits solution, and unitarians and duallists still adhere 
pugnaciously to their opinions. There is Ricord on 
one side, with eminent adherents like Bserensprung, 
Zeissl and others, while on the other Vidal, Langlebert, 
Hebra, Sigmund and others break a lance for the unalistic 
theory. According to the latest researches (N'eumann, 
347) the secretion of the soft chancre represents a concen- 
trated poison, which induces a more acute process and 
prevents general infection by destruction of the virus ; 
while the secretion of the hard chancre acts more slowly 
and produces chronic poisoning of the blood. 

Cauty {Diseases of the Skin, p. 127) individualizes 
more strictly, saying : " The growth of disease germs de- 
pends on the state of the system and its power of resist- 
ance, on the quantity of disease germs absorbed and on 
the special virulency of the germs, which implies their 
capability of causing those changes in the circulation 
which are favorable to their growth." 

N'ow, keeping these three factors in view, we can easily 
understand that a patient infected with the syphilitic 
germ, but of good health otherwise and with power of re- 
sistance at a normal standard, will be able to throw off 



196 DISEASES OF THE SKIN. 

the virus absorbed into liis system in its totality, and we 
meet therefore in such patient the soft or primary ulcer 
with its sharply-cut, swollen, red or yellowish border, 
with a pultaceous base, secreting a profuse, yellowish or 
green-colored matter. Lancereaux calls this soft ulcer 
"local syphilis." Bumstead {Syphilitic Diseases, 316) 
adopts the term " chancroid," as it never gains access to 
or contaminates the general circulation ; and since its in- 
fluence is thus confined to the neighborhood of the point 
of implantation of the virus it must be regarded as 
a local disease. 

"What, on the contrary, are the properties of the " hard,^^ 
"indurated^' and "infecting chancre''? Most authors ac- 
cept now-a-days three different kinds. 

First. The drypapide, a papular protuberance of small 
size, of a dark-brown or purplish color, round or oval, 
firm and elastic, sometimes covered with white scales of 
epithelium or scurf, which may disappear by resolution 
or absorption, leaving behind a slight violet, copper 
colored or black depression. These are the most insidious 
cases, as they frequently pass unnoticed till secondary 
symptoms appear. 

Second. The syphilitic or hard chancre erosion. It com- 
mences as a copper-red spot, scarcely raised, papular and 
dry. It is covered with a crust or thin scales, which des- 
quamate, and finally the spot becomes eroded or slightly 
ulcerated on the surface. The ulceration is circumscribed 
within the induration and presents a flat, rose-colored sur- 
face, projecting on a level with the summit of the swollen 
part. It discharges a small quantity of serous fluid from 
a diffused base, w^hich is indurated on its surface rather 
than deeply. 

Third. The indurated sore of syphilis — non-suppurating 
chancre. Induration is the primary lesion, first as a 
papule, over which a crust may form, and underneath this 
crust a cup-shaped ulcer of greater or less depth rapidlj 



SYPHILITIC ERUPTIONS. 197 

develops itself. It is indolent in its progress, and has 
the appearance of being scooped out ; it presents raised and 
rounded edges, a glossy iridescent surface, a base generally 
greyish or lardaceous, bathed with a serous or water-like 
secretion, not re-inoculable, not pus (Aitken). 

The virulency of the syphilitic poison is very persis- 
tent. It loses its power slowly and is only slowly elimi- 
nated from the system. The special predilection of syphilis 
is to cause stagnation, which it may be enabled to do at 
a part or parts of the body, and its permanent character 
allows it to lie in wait for any depression of the vital 
powers, when it seizes the favorable moment for a demon- 
stration of its existence. The exact action of the syphil- 
itic germ when absorbed is to retard the circulation, and 
syphilis may therefore be considered in all cases a disease 
of stagnation and deterioration of the blood. (Cauty, 137.) 

The virus of syphilis, like other contagious diseases, has 
a period of incubation, in which some of its effects are man- 
ifested. If no general treatment has been employed, the 
first of the secondary symptoms occur, at a somewhat regu- 
lar period, the mean being about fifty days. As in all 
other zymotic diseases, the absorption of a sufficient quan- 
tity of disease germs will set up irritation, but in syphilis 
only of a transient character, and we have what has been 
called the syphilitic fever, although this is often over- 
looked. We meet it most frequently in persons where the 
primary sore has not been subjected to treatment. The 
symptoms consist chiefly of headache, which may be noc- 
turnal, of pains, resembling neuralgia or rheumatism, in 
various parts of the body, chiefly in the neighborhood of 
the joints, and a general feeling of malaise or listlessness. 
Tenderness of the sternum on pressure has been regarded 
as so constant as to constitute a valuable symptom in 
diagnosing syphilitic infection in doubtful cases. 

Engorgement of the cervical ganglia is another impor- 
tant symptom of the early stage of constitutional syphilis, 



198 DISEASES OF THE SKIN. 

although other glands besides those of the neck may be 
engorged in the same manner, or as a general rule, their 
number and size correspond to the extent and severity of 
the neighboring eruption on the skin or mucous mem- 
brane. 

Icterus, due to compression of the biliary ducts by lym- 
phatic glands, is sometimes observed as an accompani- 
ment of the first outbreak of secondary symptoms. 

Constitutional or secondary symptoms are therefore, in 
point of fact, an exanthematous fever accompanied by 
general febrile disturbance of the economy, neuralgic 
pains, sore throat and an eruption on the skin ; but, where- 
as true exanthemata are regular in their progress, limited 
as to time and not prone to recurrence, the syphilitic 
fever is subject to irregularity in a variety of ways, is un- 
certain in its symptoms, uncertain in duration, and liable 
to repetition, not only at the expiration of several weeks, 
but at successive intervals for may months and some- 
times years. (Wilson's Lectures, 162.) 

Syphilitic eruptions have their own peculiarities, as 
slowness of their course, tendency to relapses, their infec- 
tious character even after long continuance, and their 
transmissibility to descendants. The copper color, al- 
though not constant, of a syphilitic eruption will often 
reveal its origin. They show frequently a circular form, 
especially in the pustular and tubercular forms, which ap- 
pear at a later period. The entire absence or small amount 
of pruritus attendant upon the syphilodermata is a char- 
acteristic and highly important symptom. Another im- 
portant element of diagnosis is the frequent co-existence of 
various forms of syphilitic eruptions on the same person 
in the early stage of constitutional infection. The seat 
of the eruption will also sometimes indicate its origin. 
In fact, we see here^ again, that the totality of the symptoms 
with a full anamnesis has to be taken into account, to 
gain a clear diagnosis of the diseased state and of the 
remedy similar to such a diseased state. 



SYPHILITIC ER UPTIONS. 199 

Wilson {I. c, 162) arranges syphilitic eruptions of the 
skin into three classes, namely, erythematous^ papulous and 
ulcerous ; also the degenerative form. Cazenave describes 
the exanthematous, papular, squamous, vesicular, bulbous, 
pustular, tubercular, etc. 

Boseola syphilitica^ erythema syphiliticum^ is one of the 
earliest and most frequent of all the syphilodermata. 
Livid, pale-red or brown spots of the size of the nail, 
which are the result of local hypersemia together with 
cell-infiltration along the capillaries, make their appear- 
ance with slight febrile movement, mostly on the body, 
more rarely on the face, sometimes, also, on the palm of 
the hand, tongue and soft palate. The spots appear more 
clearly under the action of cold. This syphilide passes 
quickly into the papular form or disappears in exceptional 
cases very rapidly ; as a rule, it remains weeks or months, 
and generally leaves slightly pigmented patches. There 
is usually also redness of the fauces and tonsils, or even 
slight ulceration, enlargement of the cervical and inguinal 
glands follows, and alopecia occurs in some cases. 3faculce 
syphiliticce may remain after any syphilide, but are more 
frequently observed after the erythema. The little roseo- 
lous spots, which soon fade, assume a dirty brown aspect, 
are circular and scattered over a large area, and subse- 
quently become of a rather lighter hue, although they do 
not disappear on pressure. Their special seats are the 
neck, the breast, the face, especially the forehead, and 
the arms. Maculae syphiliticse are unattended by desqua- 
mation. 

Fapular syphilis shows itself by hypercemia with promi- 
nence. Syphilitic lichen also belongs to the early stage 
of syphilis, and is in many cases preceded by the erythema. 
Fox {l. c, 284) describes two varieties, the first, in which the 
disease begins by follicular hypersemia, this being followed 
by a deposit about the follicles and the formation thereby 
of papules ; the second, in which solid little growths of 



200 DISEASES OF THE SKIK 

syphilitic granulation-tissue are found on the skin, and 
these papules may* be lenticular in form and shape, or flat 
and largish, i. e., papulo-tubercular. Bumstead {l. c, 545) 
recognizes three forms : the lenticular^ in which the pap- 
ules are somewhat broad and flat ; the conical^ the heighth 
of which exceeds their breadth and which most closely 
resemble ordinary lichen ; and the miliary, which are very 
small, and the summits of which, on their first appearance, 
are generally surmounted by a slight efl'usion of serum. 

As a rule, the first exanthem of the syphilitic fever is 
simply hypersemia ; the congestion lasts for a few days, 
then gradually subsides and fades away. But a recurrence 
of the syphilitic fever after a few weeks will always be 
attended with a prominence of the congested follicles, and 
the case has become papular syphilis. Pathologically, the 
first impetus of the fever has produced dilatation of the 
capillaries, and has left behind it a susceptibility to being 
acted upon again in a similar manner ; while the second 
impetus not only results in dilatation of the capillaries, 
but is accompanied with transudation and increase of bulk 
of the inter vascular cell-structures. A second attack of 
papular eruption will always be composed of papulae larger 
than the first ; and so we are led onward fromsm all prom- 
inences scarcely one line in diameter to others measuring 
over an inch. The former we term papules, the latter tub- 
ercles, although the pathological constitution of the objects 
is the same. Still, the tubercle means duration and repre- 
sents a more chronic character in relation to the disease 
(Wilson, l. c, 170). 

Papulae syphiliticse are most common upon the abdomen, 
thorax, back, forehead and the upper and lower extremi- 
ties ; they are rare upon the hairy scalp. Upon the fore- 
head they constitute the most frequent variety of the cor- 
ona veneris. They are very persistent, and rarely disap- 
pear under one or two months. As resolution progresses, 
the copper color fades first into a tawny and then into a 



SYPHILITIC ER UPTIONS. 201 

grayish hue, and copious desquamation of the epidermis 
sometimes takes place, attended by slight pruritus ; some- 
times they suppurate at their apex and are then accompa- 
nied with swelling of the glands. They frequently leave 
depressions in the skin, which are due to interstitial ab- 
sorption of the tissues, and which disappear in the course 
of a few months. 

Syphilitic squamoe {'pityriasis syphilitica^ psoriasis syph- 
ilitica ; syphilis cutanea squamosa) occurs either on single 
parts or over the whole surface, and is either developed from 
macular and papular eruptions, or appears primarily with 
febrile phenomena, by the development of fat red blotches, 
which in a few days are covered with scales, mostly col- 
lected on the periphery. In some places crusts are formed 
instead of scales, which produce crescentic or circular 
layers, especially on the hairy scalp ; with this form the 
patients are cachectic, the glands swell and the hair falls 
out. Semicircular patches may also form on the scrotum 
and penis ; the skin becoming red and inflamed by their 
long continuance, they may be taken for eczema, but this 
form does not appear until the earlier manifestations of 
syphilis have long passed. 

Fox {l. c, 290) gives the following diagnostic hints for 
squamous syphiloderma : First, if limited to the palms of 
the hands and soles of the feet it is in the majority of cases 
syphilitic. Second, the disease does not attack the el- 
bows and knees by predilection, as in the simple forms. 
Third, it is generally displayed in little circular patches, 
which are isolated and not confluent. Fourth, the 
patches have a peculiar whitish line circumscribing them, 
due to the elevation and attachment of the cuticle. Fifth, 
the squamse are thin, small, gray, and repose upon a 
coppery base. Sixth, there is generally significant co- 
existence of specific infection. Seventh, copper-colored 
maculae follow in the wake of the disease. 

Syphilitic vesicles, Wilson {I. c, 183) never saw any 

15 



202 DISEASES OF THE SKIJS'. 

form of syphilitic eruption which he should consider en- 
titled to the designation of vesicular or pustular. Both of 
these states may be more accurately treated of as papulae 
vesicating at the summit, or as papulse or papular tubercles 
suppurating at the summit, and, in fact, representing the 
commencement of the ulcerative process. 

All authorities agree that syphilodermata rarely appear 
in the vesicular form, and when vesicles are met with it is 
an early symptom. The parts which are most frequently 
affected are the back, face and extremities. The vesicles 
may either be large and globular, small and acuminated, 
scattered irregularly over the surface or arranged in 
groups. Many of them are found to be traversed by a 
hair, showing that the chief seat of the eruption is the 
hair follicles. Bumstead {l. c, 547) admits four varieties : 
First. Where the eruption resembles varicella, and the 
vesicles are large, scattered over the surface, in some cases 
umbilicated, and each is surrounded by a copper-colored 
areola. Their contents remain serous for a short time only 
and soon become purulent. Second. In the eczematous 
variety the vesicles are smaller and either diffused or col- 
lected together in groups. The eruption terminates in 
fine desquamation without the formation of scabs, some- 
times a thin yellowish crust is found, beneath which the 
integument is found to be superficially ulcerated. Third. 
The herpetic variety consists of large globular vesicles 
containing a citron-colored fluid, arranged in irregular 
groups upon a dark-red base, resembling the patches of 
herpes phlj'Ctenodes, or the vesicles may be smaller and 
collected into groups which are either circular or ovoid, 
as in herpes circinnatus. Fourth. The bases of the vesi- 
cles are hard and firm papular elevations, which remain 
for some time after the fluid had been absorbed or has 
escaped by rupture of the vesicles. Syphilitic vesicles are 
almost always accompanied by some other specific erup- 
tion. 



SYPHILITIC ERUPTIONS. 203 

Syphilitic hullcB. (Pemphigus syphilitica. Rupia syph- 
ilitica.) The number of cases of this affection in adults is 
small, but pemphigus neonatorum is of very frequent occur- 
rence. The children are either born with a pustular erup- 
tion, chiefly on the palms and soles, the elements of which 
rupture a few days after birth and leave a superficial ulcer, 
or small spots the size of a lentil come out on the parts 
mentioned, of a dark, purplish color, which soon develop 
into bullae. These children die a few days after birth from 
exhaustion, in spite of the most assiduous care ; they live 
at the longest two or three weeks. 

Rupia syphilitica is known by the development of small 
flattish bullae, surrounded by a faint areola, few in num- 
ber, containing at the very outset transparent serosity, 
but very soon a mixture of blood and pus, giving place by 
dessication to thick scabs beneath which is more or less 
unhealthy ulceration, with a dirty, fetid discharge. The 
crusts are diagnostic ; they are dark, and stratified in such 
a way as to be conical, like an oyster-shell. The rupial 
spots may be seated on any part of the body, face, head, 
limbs or trunk. It is almost invariably associated with pov- 
erty of the blood and enfeebled vitality. Syphilitic rupia 
is very persistent. Fresh scabs and ulcers appear in the 
vicinity of those first formed, so that the various stages 
of the eruption may be frequently observed on the 
same person. During the reparative process, if the 
scabs be allowed to remain undisturbed the ulcer granu- 
lates up from the bottom, and when at last the scabs, 
having become dry and brittle, fall off, may have already 
attained a higher level than that of the surrounding 
surface. The succeeding cicatrix is of a sombre red or 
copper color, abruptly depressed and indelible. 

Many varieties of rupia have been made, according to 
the size and shape of the crusts and the degree of ulcera- 
tion, although in all the different varieties it will always re- 
main as a diagnostic mark of syphilitic rupia, that beneath 



204 DISEASES OF THE SKIN. 

the impetiginous crust there is only an excoriation. If the 
spots are of fair size, the disease is termed rupia simplex ; 
if the crusts are large and prominent, rupia prominens ; if 
the ulceration is marked and the patient cachectic, rupia 
eschar otica ; hut all such divisions are immaterial, as a 
slight alteration in the relative power of health or disease, 
or an accidental or incidental change in the outward con- 
ditions, will give one or another form. 

Syphilitic pustules. (Acne, impetigo and ecthyma syphi- 
litica — pustulo-crustaceous syphilitic eruptions.) Pustules 
result in several ways; either from rapidly suppurating 
vesicles, or by the tops of papular eruptions suppurating the 
contents of these pustules dry to crusts and leave a more or 
less deep ulcer after their removal. These syphilides are 
generally attended with glandular indurations, axillary, 
cervical aud inguinal; the patients have a cachectic look 
and are frequently troubled with affections of the serous 
membranes and rheumatic pains. 

Fox {l. c, 289) adopts three primary forms of syphilitic 
pustules and a secondary form. First. Syphilitic inflamma- 
tion of the follicles, especially of the scalp and of the side 
of the face. It occurs pretty early, and the spots are 
marked by a hardish base, a copper-colored areola, an indo- 
lent course, and the occurrence of cicatrices,with dull stains. 
Second. Syphilitic acne is common and involves the en- 
tire sebaceous glands, especially about the sides of the face, 
on the scalp and the trunk ; it may even be confined to the 
lower extremities, an important fact in establishing the 
diagnosis. The acne spots are of small size, generally acu- 
minated, seated upon a prominent base, show little tend- 
ency to spread and remain stationary for several weeks 
before becoming covered with scabs, which are small, dry 
and of a grayish- brown color, and leave distinct cicatricial 
pits behind, and dark-colored stains. Third. Syphilitic 
ecthyma is seen about the trunk, but especially the limbs, 
the lower more than the upper, and occasionally the head. 



( 



SYPHILITIC ERUPTIONS. 205 

The pustules are phljzacious, scattered, with a coppery 
base, and indolent ; they are scabbed over with dirty 
brown or blackish scabs, covering ulcers with indurated 
and dark edges, which on healing leave behind scars and 
characteristic stains ; the crusts are peculiarly thick and 
very adherent. 

In the papular or tubercular form, which pustulates, 
the pustules are found about the forehead and face 
and on the trunk ; they are successive, numerous, iso- 
lated and scattered, soon acquire a coppery hue and are 
indolent; thick greenish crusts may form, and beneath 
them is ulceration depressed in its centre and leaving be- 
hind scars and copper-colored stains. This brings us to the 

Tubercular syphiloderma^ which may be di voided into two 
classes: First. Those which terminate in desquamation or 
resolution. Second. Those which suppurate and form 
ulcers. The former are hard, shot-like bodies, occupying 
the whole thickness of the skin, above which they project 
to a variable extent. They are usually of a dark-red color, 
sometimes tense and shining or covered with thin scales, 
which fall off and give place to others or are surmounted 
by scabs, which are the product of an effusion of serum be- 
neath the epidermis without deep ulceration. They are 
neoplasmata, and a diagnostic feature of them is, that they 
cannot be made out to be enlargements of the follicles 
(acne) of the skin, as they never present a central point. 
"When aggravated they form groups which are generally 
circular, but sometimes irregular. Such groups of tuber- 
cles form distinct patches, the edges being bounded by 
well-marked tubercles, the whole surface of the patch 
being scaly ; and the patch constantly tends to enlarge by 
the subsidence of the old tubercles and the development 
of new ones external to the first ; the size of the patch 
augments and the increase of the growth of new tissue, or 
infiltration, thickens the patch. In some instances, instead 
of forming wheals, tubercles are collected into irregular 



206 DISEASES OF THE SKIN. 

masses, in which, however, a tendency to the circular form 
is still manifest, and if closely approximated, the general 
thickening of the skin beneath may elevate the patch to a 
considerable distance above the surrounding surface. All 
tubercles are very slow in their progress and decline, and 
often persist for many years. 

Second. Further changes may take place in tubercular 
syphilis, viz., suppuration and ulceration. Tubercles in 
certain persons, instead of being absorbed, break up into 
unhealthy pus, and give out an ichor that dries into dark 
adherent crusts. In ulcerating tubercular syphiloderma the 
ulceration in one instance may be deep and is called the 
jperf orating form, in the other superficial or serpiginous form. 
In the former the tubercles are large, few, livid-red, with 
a copper-colored areola, having a tendency to ulcerate 
deeply, and are very painful ; the ashy-colored and foul 
ulcers, which may become confluent, crust over, the 
ulceration meanwhile eating more deeply, the crusts being 
repeatedly shed and reproduced. The disease is most 
common about the face, and thus the nose may be de- 
stroyed. Severe ulceration is generally a symptom of 
tertiary syphilis, and accompanies marked cachexia, indu- 
rations of the periosteum, syphilitic caries, etc. 

When the ulceration is superficial, it creeps along 
the surface in bands or circles ; the surface of the ulcer 
becomes covered over with the blackish crusts, which 
fall and are reproduced from time to time; the tu- 
bercles themselves are larger, and if the ulcers heal, 
distinct livid cicatrices remain behind; if the tubercles 
become confluent, the ulceration is more marked. Another 
ulcerative condition is the fissured tubercle, which is 
small, with a lineal ulcer in the centre ; it is accompanied 
by a good deal of pain and a thinnish ichor is exuded 
from it ; it is seen about the side of the nose, lip, scrotum 
and anus. 

Syphilitic ulcers have sharply-cut edges and the tuber- 



SYPHILITIC ERUPTIONS. 207 

cles around are hard, smooth, dryish, dense, shining and 
copper-colored ; they are foul, dirty, ashy, exuding ichor, 
and the tissues around are infiltrated and indurated. 

Syphilitic alopecia is pretty common. Ulceration of the 
hairy skin, the formation of tumors or seborrhoea may 
cause a falling out of the hair. The hairs become harsh 
and brittle, their bulbs become atrophied and they come 
out with combing. The loss of hair sometimes takes place 
over the whole body ; when this occurs, the patients are 
generally cachectic; the hairs, however, grow again after 
several months, when the syphilitic poison is overcome. 

Onychia syphilitica. Purulent formations about the 
ends of the fingers are always signs of debility. It may 
attack the structure of the nail itself, or the matrix 
especially. The skin around the nail becomes diseased, 
is reddened, swollen and painful, which symptoms disap- 
pear again, partly from absorption, partly from suppura- 
tion of the skin, with shedding of the nail. Several nails 
may be attacked at the same time, and that symmetri- 
cally ; the progress is very indolent. The nail ma}^ also 
become the seat of a painful tubercle, which raises up the 
nail from its bed and it thus becomes detached. In other 
cases of syphilis the nails simply atrophy and are lost, or 
they become ill-formed, friable and stunted. 

Syphilis cutanea ve^e/faw5 (Condylomata lata. Plaques; 
muqueuses). They are hypertrophied papillae moistened 
by secretion and containing rather more fibrous and elas- 
tic tissue than usual. The walls of the vessels leading; to 
the condylomata are afiected to a great extent, and the 
cell accumulation is found especially along the vessels. 
They are seen most frequently around the anus, on the 
scrotum, perineum and prepuce, on the inner surfaces of 
the thighs, on the vulva, the navel, the female breasts, in 
the axillae, at the corners of the mouth and nose, and gen- 
erally in those places where there are large sebaceous 
glands and hair-follicles and deep folds of the skin. 



208 DISEASES OF THE SKIN. 

"When exposed to friction the pellicle covering the patch 
is removed, and a red, superficial, hut depressed ulcera- 
tion takes the place of the elevated disk. Unlike most 
syphilitic eruptions, condylomata are frequently attended 
by pruritus, especially when seated upon the scrotum and 
perineum, and when proper attention to cleanliness is not 
paid or the parts have become warm and moist from exer- 
cise or prolonged contact in bed. Mucous patches are ex- 
ceedingly chronic and persistent, and very prone to reap- 
pear ; they are, indeed, the most frequent evidence of the 
renewed activity of the syphilitic poison. 

Syphilodermata must be also divided into hereditary 
and acquired. The former may depend on the male or 
female parent ; the child may be born with an eruption, or 
that manifestation may not appear for some months after 
its birth ; in rare cases even several years may pass by, and 
cases are also on record where children born of a father 
or mother affected with syphilis escaped the infection, 
clearly showing that a certain dispositon to receive 
constitutional disease is necessary for the child as the 
adult, and this may be absent. The appearances of syphi- 
lis in children are : brown scabs on a surface more or less 
inflamed, tubercles of every size and form, snuffling from 
inflammation of the nasal membrane. In minor cases, 
where the disease appears after some months, the tendency 
is to scaly patches, the teeth are rough and imperfectly 
formed, and the nails and hair both show diseased action. 
We miss the copper-color in children, the maculae are pale- 
red or dirty-brown, pustules display less infiltration, as 
children with congenital syphilis are generally very anae- 
mic, and the skin is correspondingly more wrinkled. 

It is a pity that we know nothing whatever of the 
character of the virus of syphilis. It acts in the most 
minute quantity, its influence is too often protracted and 
in some cases even permanent, and instead of manifesting 
a definite set of phenomena and then being eliminated, it 



SYPHILITIC ERUPTIONS. 209 

seems to change its character with time and gives rise to 
many different forms of disease. Cauty {I. c, 135) remarks 
on this point that the virulency of syphilis is weak but 
very permanent, the germ losing its power slowly and be- 
ing equally slowly eliminated from the system. Its pre- 
dominant property is to grow and cause stagnation 
locally; if it should increase rapidly or if there should be 
a sufl3.cient quantity absorbed originally the germs may 
cause general irritation, but this irritation is of a very 
transient character. These disease germs, like other ani- 
mal germs, cannot multiply unless they can affect the 
circulation ; the special predilection of syphilis is to cause 
stagnation. The exact action of the germ when absorbed, 
is to retard the circulation. We then have all the sym- 
toms of depression — lowered pulse, absence of color, dul- 
ness of the eyes, lassitude, etc. The blood is rendered 
thin and watery, the red granules decrease in number, in- 
crease in size and become soft, pliable and easily mix 
with the fluids, losing their separate existence; the white 
corpuscles increase in size and become softer in texture; 
as a consequence of this state of things, at some point or 
points of the tissues, the enlarged white corpuscles become 
incapable of passing through the capillaries; we then 
have a point of stagnation around which both white cor- 
puscles and disease germs increase and multiply. As a con 
sequence of such increase of white corpuscles, we have 
the various hypertrophies of scales and tubercles ; or if 
there be exudation beneath the epidermis, papules, to all 
of which formations the syphilitic germ gives the charac- 
teristic sign of red granular matter, mixed with the fluid 
exuded. Such a languid and slow state of stagnation is 
only possible locally, for if the general system was so de- 
pressed we should have death. The local equivalent occurs 
in some forms of syphilitic skin disease, as ulceration or 
death of tissue. 

Treatment. For centuries mercury has been known as the 



210 DISEASES OF THE SKIN. 

great anti-syphilitic remedy and volumes have been written 
in its defence or in opposition to its use in syphilis. Our 
studies must lead us to the decision that this metal is the 
true simillirnum of the venereal poison. Headland {On the 
Action of Medicines, p. 371) remarks, that mercury disinte- 
grates or decomposes the blood and thus wastes the body. The 
blood under mercurial action contains more water, and is 
more prone to putrefaction than healthy blood. The fibrine, 
albumen and red globules are diminished in amount, and 
a very fetid matter is present in large quantity. Smith 
has observed that the blood coagulates with difficulty. 
When coagulated, it is cupped and buffed, but it is the 
huffy coat of anaemia and not of inflammatory blood; 
the clot appears rotten and is easily broken down. By 
this artificial disease that it produces, it may cause, when 
pushed to excess, various constitutional disorders of a very 
serious kind. As agents which impoverish the blood 
drive it to the tissues for its replenishment, and give 
work for the absorbents, so mercury wastes the frame, 
causes the body to become thin and feeble, the face pallid, 
and diminishes the nervous energy. It may excite the 
febrile or typhoid condition called " mercurial erethism," 
or a disease of the skin of a squamous or eczematous 
character, the " hj^drargyria." 

Ringer {Handbook of Therapeutics, 213) finds it singu- 
lar how similar the phenomena produced by mercury are to 
those which result from syphilis, and thinks that the second- 
ary and tertiary symptoms, which are laid to the charge 
of mercury, can be produced undoubtedly both by syphilis 
and by mercury salts ; so that, if these salts are given too 
freely and for too long a time, or under improper cir- 
cumstances, they inflict great harm by aggravating the 
diseases they were given to cure. 

If it be true that we know nothing whatever of the 
character of the syphilitic poison, l^othnagle also, 
{Arzneimittellehre, 229) acknowledges that it is impossible 



8 YPHILITIC ER UPTIONS. 21 1 

to explain the mode of action of mercurj. "We may ad- 
duce single data, but they do not suffice to disclose the 
origin of the effects produced by mercury. And Head- 
land coincides with him, as he remarks that " by some in- 
scrutable chemical (?) power, of whose agency we know 
nothing, mercury is able to decompose the blood." 

Authorities disagree about the indications for the use 
of mercury in syphiloderma. Thus Bumstead {!.. c, 559) 
finds mercurials only required for the superficial eruptions 
which terminate in desquamation, belonging to the sec- 
ondary stage of syphilis (erythema papules, squamse and 
vesicles, which are either dry or are attended by a serous 
or thin sero-purulent secretion emanating from a superficial 
erosion). Our own Hughes {Pharmacodynamics, 395), on the 
contrary, finds it applicable when the local manifestations 
of the disease become destructive, when the eruptions take 
the form of impetigo and rupia, or when ulceration attacks 
the skin and mucous membrane. Yeldham also recom- 
mends a fair trial of the mercurials in syphilitic eruptions 
(the iodides or perhaps the corrosives), unless mercury 
has already been fully given. Bayes {Applied Homoe- 
opathy, 117) reports the skin " similars" to mercurius 
numerous, numbering certain vesicular, pustular and papu- 
lar rashes, and gives the practical rule for the adminis- 
tration of mercury in these cases, that on pressure over the 
reddish blush which surrounds them, the color of the 
skin remains coppery or yellowish-brown until the blood 
returns to the surface. In very unhealthy subjects these 
vesicular and pustular rashes have a tendency to run into 
sores (Merc, corr.^" every second night and 3d dec. 
twice a day.) Granier {Homoeolexique, ii, 854) uses the red 
percipitate, the corrosive, the cinnabar and Merc, nitr., 
and finds them indicated in pustular and squamous syph- 
ilides, especially in psoriasis, for the cure of tubercles, 
ulcerations, and of great value in onychia syphilitica. 
Kafka {I. c, ii, 647) considers mercurial preparations true 



212 DISEASES OF THE SKIN. 

antisjphilitica only in certain concrete, strictly individu- 
alized cases. He uses the 2d dec. of Merc, corr., even 
for the primary soft chancre, and where no amendment 
follows after several weeks, he changes to the Merc, prsecip. 
rubra ; in indurated chancres (infiltrations of the connec- 
tive tissue with fibrinous coagula) he relies on iodide of 
potash (Kali hydrojod. 5j, Aqua, dest., Spir. vin., aa. ^ij., 
gtt. j. two or three times a day, adding one drop to 
the dose every third day), and where this fails he has 
recourse to the Merc, deutojoduratum given methodi- 
cally. He considers the cinnabar (bisulphuretum hy- 
drargyri) a grand remedy for secondary symptoms, as- 
cribing its excellent effects to the combination of sulphur 
with the mercury. The simultaneous use of warm baths 
can be highly recommended in the treatment of syphi- 
lides. Tubercular tertiary syphilis needs quick resorption 
of the fibrinous exudations in the skin ; hence the iodide 
of potash or the biniodide of mercury are indicated ; but 
exulcerating tubercles as well as fissured and ulcerated 
condylomata yield usually to the red precipitate or to the 
biniodide. 

Fox {l. c, 305) considers mercury the remedy for all 
syphilodermata, except in those cases in which the drug 
may, in consequence of the state of cachexia, still further 
depress. In these cases, and those of tertiary syphilis, 
empiricism has taught that the appropriate remedy is 
iodide of potassium, but in some instances the combined 
use of both remedies is of much value, as in wide-spread 
tubercular syphilis. He discards all other preparations 
of mercury except the bicyanide (hydrarg. cyanidi) and 
gives it in 1-12 grain doses twice a day, in pill form, ad- 
ministering iodide of potassium (grs. v. three times a day) 
at the same time. 

Headland (l. c, 204) considers mercury the single and 
best remedy in primary forms of syphilis, as the chancre, 
and early eruptions — as syphilitic lichen, roseola and le- 



SYPHILITIC ERUPTIONS. 213 

pra — and in syphilitic iritis. It is well known that mer- 
cury has the power of producing a decomposition of the 
blood. Syphilis, with the eruptions and ulcerations and 
necrosis and cachexy that result from its working, is ob- 
viously an agency which itself tends sooner or later to im- 
poverish the blood ; and it seems to me not unreasonable 
to suppose that mercury in its destructive action may 
seize first on those parts of the blood which are most dis- 
eased, or most liable to putrefaction, that it may grapple 
thus immediately with the fermenting and multiplying 
virus of syphilis, decompose it, as well as those materials 
of the blood on which it has commenced to feed, and elimi- 
nate both these and itself together by the glandular out- 
lets of the frame. To cure the corrosion of the vital parts 
the mercury corrodes somewhat further and deeper and siveeps 
all away. 

Iodine and its preparations produces erythematous, papu- 
lar, vesicular and pustular eruptions (Fischer, Vienna Med, 
Wschft., 1860) and exerts on the blood some special cata- 
lytic action by virtue of which the morbid actions of sec- 
ondary syphilis are counteracted. As an anti-syphilitic its 
use is confined to latter symptoms, as to periostitis, and to 
late eruptions, as rupia (Headland, L c, 381). Cauty also 
considers the action of Iodine quite unequal to meet the 
action of the syphilitic germ at first, whether combined 
with potash or ammonium or with iron. If you have any 
hopes that of itself the iodide will counteract the disease, 
it requires many months of steady administration and a 
very feeble action of the disease to be removed. Wilson 
(1. c, 206) on the contrary has great confidence in the 
iodide of potassium in all the eruptions of a recent period 
and also in the ulcerative forms, but this remedy as well 
as the mercurials must be used properly, demanding great 
judgment and discrimination. 

Hughes (I, c, 334) acknowledges that our school also 
uses the iodide of potassium more ex usu in morbis than 



214 DISEASES OF THE SKIN. 

from the pathogenesis of this remedy in secondary and 
tertiary syphilis, and most of our physicians give it there- 
fore in material though not large doses. Lobethal {A. 
H. Z.^ 30) prescribes it for the cutaneous affections and 
ulcers of a sickly color, and for tubercular and papular 
eruptions of the face. 

Gold and Platina have been used by physicians of the 
old school for the cure of syphilodermata when the sys- 
tem has been previously subjected to the action of mer- 
curial remedies. We find indications for the former in 
the marked depression of spirits so often witnessed in 
syphilitic patients, with a suicidal tendency, and in its 
great antidotal power to the action of the mercurials. It 
is (Hughes, I. c, 127) an admirable remedy for those con- 
stitutions broken down by the combined influence of 
syphilis and mercury. 

Nitric acid is also well known as an antidote to syphilo- 
mercurial poisoning. Rummel found it to act well for 
broad red spots resembling psoriasis, subsequent to the 
treatment of primary ulcers with large doses of mercury. 
Fielitz cured with it isolated, burning, ulcerated surfaces 
on the hairy scalp, accompanied by ecthymatous pustules 
in the face, forming crusts, and surrounded by broad, red 
areolae. Hofrichter for brown spots on the glans of the 
size of lentils, and vanishing after their membranes be- 
come detached, together with brown tubercles near the 
seam of the scrotum and on the perineum as far as the 
anus ; these tubercles are of the size of peas and ulcerate. 
(Jahr's Verier al Diseases^ 225.) 

In coming to the more simple treatment of Ferguson, 
Boeck, Baerensprung and others, we find the expectant 
treatment in the ascendancy, as they rely on inert reme- 
dies or laxatives ; and even Wilson states it as a general 
axiom that all eliminating means are useful in syphilis, 
and that each and every successful treatment may be re- 
solved into the two processes represented by the words 



SYPHILITIC ERUPTIONS. 215 

elimination and restoration. Thus a famous method of 
treatment, once in great favor, consisted in epsom salts, 
milk diet and clinical decubitus. We may use with equal 
benefit the milk diet and the clinical decubitus, and study 
out what other remedies we maj^ use for the eradication 
of syphilis, for the cutaneous affection remains to us only 
as an outward sign of a constitutional affection. 

Thuya disputes the rank for the cure of condylomata. 
It is the great antidote to sycotic diseases showing itself 
in the shape of warts, condylomata, cauliflower excres- 
cences on or about the genital organs and hairy parts of 
the body. The patient is low-spirited and desponding. 

Dulcamara. Herpes preputialis, easily bleeding, brown, 
dry, humid or furfuraceous, red, pale-red or with a red 
areola ; round, scaly and small herpes ; suppurating yel- 
low herpes ; thick brown crusts on the face, forehead, 
temples and chin with reddish borders, bleeding when 
scratched ; exostoses on the upper part of the right tibia, 
with bluish-red spots, suppurating lumps. 

Hepar s. e. Another antidote to overdosing with 
mercury. lulling out of the hair after the abuse of 
mercury ; pustules on the scalp, secreting copiously, with 
glandular swellings ; rhagades of the hands and feet ; al- 
ternate appearance and disappearance of brown spots on 
the whole body. 

Kali bichromicum. Papular and pustular eruptions ; 
ulcers with hard bases and overhanging edges, deep and 
generally dry ; pustular eruptions, which have a hard 
dark scab and leave a depressed cicatrix ; small pustules 
over the body similar to small-pox, they disappear with- 
out bursting ; periosteal pains ; syphilitic rheumatism. 

Phytolacca. Syphilitic periosteal rheumatism; second- 
ary and tertiary syphilitic eruptions, especially psoriasis. 

Staphysagria. Another sycotic remedy as well as bene- 
ficially acting against the constitutional effects of mercury. 
Humid, scalding-itching, fetid eruptions ; periosteal pains, 
worse at night. 



216 DISEASES OF THE SKIN. 

Stillingia sylvatica. Chronic secondary eruptions, com- 
plicated with venereal rheumatism ; periostitis and nodes 
on the tibia ; ulcers with unhealthy skin. 

Other remedies might be indicated jpro re nata, as Arg. 
nitr., Arsen., especially Ars. jod., Calcar. (especially in 
congenital syphilis), Lachesis (phagadsena), Petrol., Rhus 
tox., Rumex, Sanguin., Sepia, Silic, Sulphur, and many 
more, but our space being limited we refer to the Materia 
Medica. 

Serofula-derinata, 

Scrofula of the skin is only a part of a general diathetic 
condition. We know just as little of the essence of scrofula 
as we know of sj^philis ; we only know that it modifies and 
deteriorates the organism. Ricord is certainly wrong when 
he considers it always a form of hereditary syphilis ; others 
see in it an exaggerated action of the lymphatic system, 
and many of our school look at it as the expression of the 
Hahnemannian psora. Raue {L c, 545) in his concise man- 
ner terms scrofulosis a cachexia which manifests itself as 
a nutritive disturbance in the external skin, mucous mem- 
branes, joints, bones, organs of sense, and above all the 
lymphatic glands. The special changes in the skin are 
eruptions, which usually have their seat in the face and 
on the scalp ; they consist in a superficial dermatitis with 
exudation of lymph upon the free surface, constituting 
eczema or impetigo, or, as they are likewise called, tinea 
or porrigo, etc. Destructive processes, like lupus, do not 
take place until a much later period. 

Wilson {Diseases of the Skin, 367) describes the tubercu- 
lar swellings of cutaneous scrofula as of small size, indo- 
lent, and of a purplish red or livid color ; they soften in- 
ternally, break after a time and give exit to a white curd- 
like matter and to an imperfect pus, often remain open 
or fistulous for a long time, showing very little disposi- 
tion to close, and when the healing is at last accomplished, 
an ugly scar is often left behind. The chronic character 



NEUROSES OF THE SKIN. 217 

of scrofaloderma finds its explanation in the low vitality 
of the morbid tissues from weak nutritive power, and 
hence defective assimilation and sanguification ; we find, 
therefore, scrofulous persons generally fair in complexion, 
pallid, flabby in tissue, and more or less anaemic, and our 
chief reliance must be put in the maintenance and sup- 
port of the vital power of the patient, for we contend as 
against a debilitated constitution. 

The old school relies on phosphate of lime, cod-liver oil, 
iodine, iron, nitr. ac, combined with tonics, for the eradi- 
cation of this diathesis, with animal diet. Our sheet- 
anchors are Sulphar and Calcar. Other important re- 
medies are: Alnus rubr., Asaf., Aurum, Badiaga, Baryt., 
Bellad., Calc. carb., Gale, phosph., Cistus, Conium, Hepar, 
Hydrast., lodium, Lycop., Mercur., ^atr. mur., PhytoL, 
Rhus tox., Rumex, Sepia, Silic, Stillingia. 

Neuroses of the Skin. 

The nervous disorders of the skin are : First, Disturb- 
ances of Sensibility, (a) Anaesthesia (b) Hyperaesthesia. 
Second, Motor disturbances. Third, Angio-neuroses. 

First. The papillae furnish the sensation of touch, and 
after their destruction the sensibility to changes of tem- 
perature, pressure and relations of distances ceases. 

(a) AncBsthesia. The causes of anaesthesia lie either in 
the brain, in the course of the nerves, or in their peri- 
pheral endings. All anaesthetic remedies produce anaes- 
thesia through their action on the brain ; to the second 
class, for instance, belong those in the course of Elephanti- 
asis Grixcorum ; and to the anaesthesiae of the third class, 
those caused by burns, injuries, the action of caustics and 
local anaesthetics. It is mostly a secondary symptom of 
other diseases. 

(b) Hyper (Bstliesia^ or exalted sensibility of the skin, if 
general, is secondary to brain and spinal diseases; occa- 
sionally it is idiopathic, and when this is the case par- 

16 



218 DISEASES OF THE SKIN. 

takes of the nature of an hysterical pain. The skin is 
morbidly sensitive to all impressions, e. ^., friction of the 
clothes, the air pressure, and even that of lying. 

Pruritus — in plain English, "itching" — may occur with- 
out any apparent cause, but that is because we do not see 
where the cause is ; not that it is wanting or that the nerves 
have acquired unusual activity jper se. This sensation ac- 
companies many diseases, as eczema, scabies, etc. As a 
general rule, only those skin diseases itch in which the 
papillary layer is irritated, while wounds and ulcers which 
extend deep into the subcutaneous tissue are only painful. 
In prurigo the itching is very intense only when new 
papules are forming, and ceases with their destruction. 
In many dyscrasic diseases, as syphilis, the exanthemata, 
and lichen scrofulosorum, there is no itching, while net- 
tles and the epizoa occasion it as soon as they come in con- 
tact with the skin. We see, therefore, that true dyscrasic 
diseases which come from the blood cause no itching, while 
ever so slight an irritation may be accompanied by the 
severest pruritus, and that, therefore, this state in most 
cases is caused by some local process. Hebra first insisted 
on this fact. 

The sympathetic excitation of pruritus indicates its 
nervous character, which is also manifest by the manner 
of its attack, coming on suddenly, raging w^ith violent 
fierceness, sometimes periodic, and subsiding for a while 
totally. It may occasionally be general, but is more fre- 
quently local. The former is frequently connected with 
physiological changes in the uterus. Thus women may 
suffer intensely from itching during the whole period of 
their pregnancy ; morbid alterations in the uterus, anoma- 
lies of menstruation, Bright's disease, hepatitis, icterus 
and granular liver may produce the same ; itching is also 
a frequent accompaniment of senility. 

Pruritus senilis^ caused by retrograde metamorphosis, is 
an afiection of old age. ]^o thing else is observed in the 



NEUROSES OF THE SKIN. 219 

skin but laxity and thinness of the integuments, with 
perhaps plugging up of a certain number of the follicles 
by the exuviae shed from the sebaceous glands. It is 
increased by heat, cold, the warmth of the bed, by 
digestion and other things, and may take on the form of 
stinging, creeping or burning sensation. It may also 
appear in persons who cannot be considered old, from 
mal-nutrition, from worry, anxiety, mental over-exer- 
tion, etc. 

Pruritus ani^ seen especially in corpulent persons, is a 
constant result of hemorrhoidal tumors and intestinal 
worms, but generally comes from eczema or intertrigo. By 
reflex action it may also occur from uterine disorders. 
The result of scratching is to give rise to the develop- 
ment of papules, and, it may be, to considerable inflam- 
matory thickening. 

Pruritus pudendi^ or itching about the genital organs, 
is common in women, and arises from a variety of causes, 
as eczema, intertrigo, the presence of vegetable funo-i, 
ovarian and uterine irritation, hemorrhoids aud varicosity 
of veins of the genital parts. It is frequently observed 
in amenorrhceic sterile females and those at the climac- 
teric period. The itching aflects either the clitoris, the 
labia mnjora or the vagina, and is often very obstinate. 
From the friction, which may even amount to masturba- 
tion, we have at flrst excoriation and afterward a chronic 
infiltrated eczema or leucorrhoea. 

Emollient and vapor baths and anodynes locally ap- 
plied, are recommended, provided the general health be 
carefully attended to. 

For simple itching of the skin while undressing or 
after getting warm in bed, or by exercise: Bryon., 
Coccul., Nux vom., Oleand., Opium, Pulsat., Rhus tox., 
Bilic, Sulphur. For pruritus icteroides : Chelid. For 
pruritus senilis: Arsen., Baryt., Crotal. For pruritus 
ani: Alum., Amnion., Calc, Garb, veg., Caustic, Ignat. 



220 DISEASES OF THE SKIN. 

(ascarides), Lycop., Witv. ac, Sepia, Sulphur. For pruritus 
pudendi, (a) Scrotum: Antim., Caustic, Graphit., Lycop., 
Witr. ac. Petrol., Sulphur; (b) female genital organs: 
Ambra (pregnancy), Calad., Carb. veg., Collins., Helon., 
Hydrast., Hydroc, Tarant. 

Collinsonia. Pruritus vaginae from hemorrhoids. 

Carho veg. Itching of vulva and anus from varicose 
veins in external genitals, producing even dysuria. 

Helonias. The mucous membrane of the labia is red, 
swollen and covered with a white, curdy deposit like 
aphthfe ; no sexual excitement. 

Hydrastis. Excessive pruritus, with profuse albuminous 
leucorrhoea and sexual excitement. 

Tarantula. Dryness and heat of the parts, intense itch- 
ing, worse at night. 

Ludlam {Diseases of Women., 160) recommends, accord- 
ing to indications, IsTatr. mur., Sepia, Silic, Sulphur, 
Arsen., Calc carb., Conium, Mercur. and the various acids. 

Compare also Guernsey's Obstetrics., second edition, 
p. 575. 

Second. Motor Disturbances. ITeumann {I. c, 390) re- 
presents the cutis anserina as a " motor disturbance," a 
condition of the skin in which small papules of the size 
of a hemp-seed appear, caused by the contraction of the 
muscular fibres running to the base of the hair-follicle, 
whereby the hair is erected and the follicle protruded. 
These papules may also be produced by the electrical 
current, during the chill of intermittent fever, and by the 
direct action of cold upon the skin. Cutis anserina is 
therefore no disease. 

Third. Angio-Neuroses. ]^eumann puts in this class 
the neuroses following paralysis, in which the nutrition 
of the affected portion is retarded, the part withers, the 
hairs and nails drop off, or whole joints are lost (see 
JEL phantiasis Grcecorum). 

There is no doubt but that a large proportion of cuta- 



ACUTE ERUPTIVE DISEASES. 221 

neous diseases depend upon disorders of the vaso-motor 
nerves, which cause certain derangements of the circula- 
tion in the arteries, veins and cutaneous glands. Anaemia 
and hypersemia of the skin happen from vaso-motor 
irregularities, some from the brain, some from the spinal 
cord, or from the action of cold, or the electric current ; 
anaemia especially follows cramp and contraction of the 
muscles. 

Landois and Eulenberg consider acne rosacea a vaso- 
motor neurosis of the ethmoidal nerve. 

Baerensprung and others consider the origin of herpes 
zoster to be an inflammation of the sympathetic fibres of 
the small spinal ganglion. The supply of blood is 
increased, the small arteries are distended, and as a conse- 
quence there are serous exudation and the formation of 
vesicles. Urticaria also depends on a circumscribed vaso- 
motor affection, which may originate from very different 
portions of the organism. The same is true of lepra 
anassthetica. Of the same nature are the eruptions 
caused by iodine, bromine, copaiva, cubebs, cod-liver oil, 
quinine, digitalis, and that caused by malaria. 



CHAPTER V, 

ACUTE ERUPTIVE DISEASES. 

Contagious exanthemata rather belong to works on 
general medicine, inasmuch as the phenomena presented 
by the skin in these diseases play a very subordinate part 
as compared with the constitutional symptoms. Still, for 
the sake of completeness and for the purpose of diagnosis, 
it may be advisable to describe the eruptions themselves. 

These eruptive affections derive their origin from a 
specific cause, a zymotic (fermenting) poison, which pre- 
sents phenomena of a special and peculiar kind. Of the 
nature of these poisons (disease germs) we have very scanty 



222 DISEASES OF THE SKIN, 

information ; we know only that they enter the blood, 
that they set up in the blood a process of fermentation, 
and that the poisonous ferment is conveyed by the blood 
to every part of the economy. "When the disease germs 
of the contagious fevers have been absorbed, they increase 
imperceptibly for a certain time before showing any signs 
of their presence. This time, which is very various, is 
called the period of incubation. At length they are suffi- 
ciently powerful to aifect the circulation, and commonly 
make their presence known by causing what is termed a 
chill, which may be very distinct or more or less marked. 
The more distinct the chill the higher the consecutive 
fever, which is only the reaction of the vital power, which 
tries to resist and resents such presence, and throws it 
out on the cutaneous (external as well as internal [mucous 
membrane]) surface. The results of such fevers produce 
the various eruptions we have now to consider, which 
may be trifling or severe and even dangerous to life? 
according to the quantity and quality of the disease germs 
on the one side and the reactive vital power of the patient 
on the other side. 

JRiibeola. 
Rubeola or Measles is the first, as it is the mildest, of 
the three exanthems to be described. We designate by 
this name a disease in which spots or papules, separated 
from each other, appear over the whole surface of the 
body, which eruption is accompanied with fever and a ca- 
tarrhal affection of the mucous membrane of the respira- 
tory tracts, runs an acute and ty[)ical course, and is con- 
tagious. Regarding the first source of the disease, whether 
it be organic or inorganic, we know nothing ; and the 
question of its fungous nature is still more than doubtful. 
The germ of measles can not only be inoculated but the 
exhalations from the skin and lungs seem also to contain 
the poison. The duration of the period of incubation 
amounts to about twelve or fourteen days, but may be 



RUBEOLA. 22S 

longer when the affected person already suffers from an- 
other disease. Infection is possible during the prodromal 
stage, increases while the eruption is out, and ceases 
with the stage of desquamation. Most persons are at- 
tacked during childhood, and this may be the reason why 
we see so little of it among grown persons, for, as a. 
rule, the predisposition ceases for the rest of life after an 
attack. 

Measles occur in more or less wide-spread epidemics, 
and their duration is generally in inverse ratio to their 
severity ; and this again to the frequency of recurrence ; 
the shorter they are, the more severe, and the more 
frequently they occur, so much the milder is their course. 

The general symptoms, course and results of measles 
are those produced by slight irritation ; parts which 
habitually secrete discharge more plentifully, and the 
congestion of the mucous surfaces is relieved by moist 
exudations. Thus we have, as lirst symptoms of measles, 
sneezing ; lachrymation and cough ; sickness from irrita- 
tion of the stomach or disturbance of the alimentary 
canal ; the pulse is somewhat over a hundred ; gradually 
the skin, from the face downwards, becomes spotted with, 
a rose-colored rash, leaving spaces between the spots 
or clusters of spots free from the eruption. The 
eruption is not attended by any marked increase of 
fever, and as soon as it is fully developed the febrile 
symptoms diminish. Three or four days elapse before 
the eruption makes its appearance, and nearly two days, 
more before it covers the body; the redness then gradually 
disappears, and the subsequent desquamation takes place 
in the same order that the rash has become visible, 
the scales thrown oft' being small and thin. 

The diagnosis of rubeola as an exanthem rests first 
on the crimson color; second, on the punctated rash; 
third, the disposition of the puincta in small clusters 
obscurely oval in their figure. It is a well-established 



224 DISEASES OF THE SKIN. 

fact with regard to the exanthemata, that the hypersemia 
is always greatest on those parts of the skin which are 
habitually exposed to the air ; hence we find the papulse 
more prominent on the face than elsewhere, while the 
clustering is more distinct on the body. According to 
Simon, the papules arise from the collection of small 
quantities of inflammatory exudation in circumscribed 
places, mostly where the hairs penetrate the skin. 

The general fever may cause suppuration of latent 
tubercle, may aggravate scrofula, may lead to bronchitis, 
pneumonia, enteritis or dysentery ; ophthalmia morbillosa 
is also a frequent complication. Besides the synochal 
form, we have also the asthenic, nervous, torpid or septic 
measles (morbilli nigri) ; and this form may become com- 
plicated with lobar pneumonia, in which the temperature 
may rise to an unusual height and the heart's activity, 
which was at first increased, becomes weakened and 
paralyzed. Children who pass safely through the ealier 
stages die in a profound collapse, sopor, and with a small 
and greatly accelerated pulse. 

All medicinal interference is unnecessary in mild cases 
of measles, and our attention should be confined to proper 
regimen. The temperature of the sick-room should be 
maintained at about 65° F. and the air in the room 
changed daily. The patient may be washed with luke- 
warm water and the linen changed, with the precaution 
that the linen be dry and well warmed and that the body 
does not remain too long uncovered. The room should 
be only moderately darkened, corresponding to the amount 
of conjunctivitis present. The fever indicates the diet, 
which, during its continuance should consist of thin soup 
and dry bread; cooked fruit maybe allowed when the 
bowels are confined ; meat-broth and milk are not given 
till the fever has ceased, after which the diet may gradu- 
ally be made more nourishing. The patients should keep 
their room while the stage of desquamation and cough 



SCARLATINA. 225 

lasts. The therapeutics of complications must be regu- 
lated according to their requirements, and one must not 
be led astray by the exanthem. jN'eumann (l. c, 117). 
Raue {L c, 590) recommends that after fever and catarrhal 
irritation have passed away, the patient be given a warm 
bath and on the following day a cool wash all over, taking 
care that it be done quickly and that the patient be well 
rubbed and dried with flannel afterwards. After that time 
he may be allowed to go into the fresh air, provided the 
weather allows of it. 

Remedies usually found beneficial are : Aeon., Bell., 
Bry., Gels., Puis., Ant. cr.. Apis, Arsen., Camph., Garbo 
veg., Gham., Goff., Bros., Euphr., Hep., Ipec, Kali bichr., 
Merc, ^ux vom., Phosph., Stram., Sulph., Yeratr. 

Boseola., (Rotheln), an erythema of a rosy hue, is likely 
to be confounded with measles ; but it possesses no 
catarrhal symptoms, there is no relation between the 
febrile symptoms and the amount of eruption, there is no 
epidemic influence at work in its production, it is irregular 
in its distribution, non crescentic, not uniform, not dark- 
colored, but irregular, rosy, and often commencing in 
^ther parts of the face. Little is known as to the cause of 
roseola, but a few doses of Aconite or Gelseminum fre- 
quently suffice for its removal. 

Some American writers call this eruption Rubeola and 
the genuine measles Morbilli, but Fox, ^N'eumann, Hebra, 
Cauty, Wilson and others consider Rubeola as measles. 

Scarlatina. 

Scarlatina or Scarlet Fever is an acute contagious disease, 
characterized by a scarlet -red rash over the w^hole or a 
greater part of the surface of the body, accompanied with 
fever, sore throat, and a slight hypersemia of the kidneys. 
The contagion of scarlatina is quite as unknown to us as 
that of measles ; it appears to be contained in the exhala- 
tions of the patient and to be communicated to the sur- 



226 DISEASES OF THE SKIN, 

rounding atmosphere. The period of incuhation appears 
to be shorter than that of measles and to amount to about 
eight days. The disposition to take the disease ceases 
mostly after a single attack for the whole life, although 
there are also exceptions to this rule. 

In most cases there is but little if any disturbance of 
the health during the stage of incubation ; sometimes we 
have lassitude, depression and malaise. The prodromal 
stage is ushered in by febrile sj^mptoms, frequent chills 
alternating with dry burning heat, pulse 140, and an 
elevation of temperature to 104° F. With these are soon 
associated dizziness or severe headache, nausea or vomit- 
ing, redness and swelling of the tonsils and soft palate. 
(In scarlatina and measles the soft palate is early reddened, 
but in measles this is in patches, while in scarlatina it is 
more evenly punctated.) There is a feeling of dryness 
and burning in the throat, which is increased by attempts 
to swallow. Young children are very apt to have 
convulsions during this stage, which cease with the break- 
ing out of the eruption; but convulsions after the eruption 
is fully out are far more dangerous and too frequently 
fatal. The prodromal stage may last a few days and in 
some cases may be entirely absent. The stadium eruption 
begins with an increase of fever and of all other phenom- 
ena. On the second day the rash appears on the neck and 
face, and is made up of small red dots which crowd to- 
gether, forming patches of various size and extent ; after 
a while the whole surface becomes of uniform hue ; on 
the third day the eruption is seen on the body generally, 
the upper extremities, and the mucous surfaces visible to 
the eye ; on the fourth day the lower limbs are scarlet, 
whilst the surface is hot, dry and harsh. The eruption is 
most marked about the third or fourth day, and it is in 
general more intense in color towards evening, especially 
on the loins and flexures of joints. On the trunk it is 
often patchy. The eruption fades on the fifth day, first 



SCARLATINA. 227 

on the face ; desquamation follows on the eighth and ninth 
day, the epidermis being exfoliated according to the in- 
tensity of the eruption, on the extremities frequently in 
great pieces, or in fine scales. 

Cauty (1. c, 193) considers scarlatina the perfection of 
an irritant germinal disease, both in the severity of the 
symptoms and in the protection it affords against further 
attacks, as one attack of scarlet fever, however mild, is 
usually a safeguard for the future. The danger in scarlet 
fever arises from three sources, the putrefactive, the irri- 
tative and consecutive. In malignant scarlatina the putre- 
factive action has free course and the rash is imperfect, 
irregular, of a purple color ; the patients are very weak 
and lie listless or are entirely comatose. The pulse is very 
small and can hardly be counted ; the tongue dry and 
covered with sordes ; the body is very hot, y/hile the ex- 
tremities are cold ; the pupils are dilated ; spasms or general 
convulsions often occur, and death too often follows with 
symptoms of collapse, often accompanied with oedema 
of the luno-s. 

In the irritative form the weight of the disease may be 
thrown on the throat. This parenchymatous tonsillitis 
may occur on the appearance of the eruption, or more 
rarely in the stage of full development, and produces great 
difficulty of deglutition and obstruction of the nostrils. 
^IsTot only are both tonsils general 1}^ attacked, but the 
tissue around the tonsils is also involved in the process, 
which ends in the formation of abscesses, or gangrene 
in the worst cases, which may be recognized by the 
cadaverous smell before it is perceived by the eye. It 
soon extends to the surrounding parts and terminates life 
with a filiform pulse, quickened respiration, cold extrem- 
ities and retention of urine and feces. Or the tonsillitis 
may take on a diphtheretic character. There is then in 
the beginning not so much difficulty in swallowing, but the 
nasal cavities and fauces are almost always simultaneously 



228 DISEASES OF THE SKIN. 

attacked, and the at first apparently harmless secretion 
from the nose soon changes into a yellowish offensive one, 
irritating the skin over which it flows. On inspection of 
the mouth, fauces and pharynx, dingy Avhite patches 
may be seen adhering to the red oedematous mucous 
membrane, which soon become detached and leave un- 
health3^ ulcers. 

The cervical glands on both sides are swollen. The 
patients lie in a comatose condition ; the pulse is small 
and very frequent and the temperature 106 to 107° F. 
Sometimes a laryngitis, showing itself more by hoarseness 
than by cough, complicates the disease and hastens death. 
These complications have no influence upon the eruption, 
if the patients survive this stage. The inflammation 
sometimes extends throuo-h the Eustachian tube into the 
cavity of the tympanum, and gives rise to an internal 
otitis, which nvdy lead to a perforation of the membrane 
and to caries of the os petrosum, causing an obstinate 
otorrhoea and a more or less considerable deafness during 
life. 

During or shortly after the eruption is out, inflamma- 
tion of the subcutaneous cellular tissue and the submaxil- 
lary glands may lead to great danger. This affection is 
similar to the typhous metastases. This painful swelling 
is recognized rather by its hardness than by redness and 
swelling of the skin ; it increases sometimes rapidly in size 
and seldom ends in resolution ; much oftener in the forma- 
tion of abscess or gangrene. (I^eumann I. c, 123.) 

The third danger arises from the affection of the kid- 
neys. In all such cases we find too often a very mild 
eruption with hardly any fever, the throat may also be 
only slightly affected or not at all, and still the kidneys 
are seriously involved from the very start and may show 
afterwards that notwithstanding the absence or mildness 
of the febrile symptoms they have been disorganized 
by the result of germinal disease. Cauty says (l. <?., 196) 



SCARLATINA. 229 

111 all fevers in wliich there is pain in the loins the kid- 
neys are affected ; in scarlet fever we have the renal secret- 
ing surfaces especially attacked, at the same time the 
blood is forced into these glands, and the compensating or 
relieving action of the skin arrested. As a consequence of 
the state of congestion thus produced, we may have perma- 
nent disease or disorganization of these glands, or more fre- 
quently imperfect action for a time more or less prolonged; 
during which time the aqueous constituents of the blood 
exude into the areolar tissue, causing general dropsy, 
which may or may not be connected with albuminuria. 

It is no uncommon thing to see rheumatoid affections 
with swelling of the joints, with much pain and tender- 
ness, during the eruption, and even continuing during the 
stage of desquamation. 

The prognosis depends on the amount of germinal 
matter taken into the circulation and the power of resis- 
tance possessed by the patient. The scrofulous diathesis 
offers an unfavorable soil, and glandular complications are 
here frequently noticed. 

Therajpeutics. Hydropathic Treatment The wet-sheet 
pack once or twice a day should be applied as long as the 
fever is high, and tepid sponging frequently used. Where 
the feet incline to be cold, particular care must be taken 
to have them warm and comfortable whenever the pack 
or any general bath is resorted to, and hot bottles or hot 
footbaths answer this purpose. The anginose form may 
be treated with the constant application of cold wet linen 
cloths, well but loosely covered. In the putrid form the 
coldest water or pounded ice should be frequently applied 
round the neck and bits of ice occasionally taken into the 
mouth. Where there is great sickness and nausea during 
the eruptive effort, apply very cold compresses to the ab- 
domen. Excessive restlessness, anxiety, delirium, head- 
ache may be relieved by a hot foot-bath, or a warm hip- 
bath and cold compresses to the head. 



230 DISEASES OF THE SKIN. 

Hygieve and Prophylactics. Belladonna gained a deser- 
vedly high reputation as a prophylactic, but it acts only as 
such in the smooth variety ; whereas we see now far more 
frequently the papular and even vesicular form, for which 
Eh us answers a better purpose. The separation of the 
well from the sick may be recommended, especially for 
scrofulous children, and in malignant epidemics it is im- 
peratively demanded. The temperature of the sick 
chamber should be kept cool, about 59° F., and well ven- 
tilated; it ought to be thoroughly aired twice a day. The 
dry, harsh, hot skin demands careful sponging. Fresh 
cool w^ater or lemonade are appropriate drinks; as nourish- 
ment, gruels made pleasant to the taste, milk and water, 
stale bread, and after a while milk ; we had better be 
careful not to give animal food to early. Even in malig- 
nant cases with a typhoid character we w^ould not advise 
alcoholic stimulants, or only in exceptional cases. In- 
stead of sponging, some physicians use inunctions with 
lard in order to soothe the inflamed skin. 

Our old school friends recommend to begin the treatment 
with a mild purgative to remove irritating ingesta or 
acrid secretions from the alimentary canal, and a lew hours 
later liquor ammonite acetatis. Carbonate of ammonia, 
the dose according to the age of the patient and the 
severity of the disease, is a favorite mode of treatment, as 
it calms irritability, tranquilizes the nervous system, in- 
duces sleep, promotes the eruption, subdues fever, heat 
and delirium, soothes the throat and alimentary canal, and 
diminishes the quantity of viscous matter secreted by the 
mucous membrane of the fauces. Gargles pro re nata for 
the throat, of chlorate of potash and nitric acid aa. 5 i. 
to i viii. water. 

Homoeopathic Treatment. The precursory stage is far 
better controlled by Veratrum vlride than by Aconite, 
and in moderate cases this remedy alone may carry the 
patient safely through. Cerebral symptoms may indicate 



SCARLATINA. 231 

Bell.; the angina requires Bell., Baryt., Calc, Merc. sol. or 
Jod.; when gangrene threatens, Amm., Arum, Ars. jod., 
Laeh., Chin., Arsen., Chin, sulph. Calc. carb. is nearly spe- 
cific for the parotitis which sometimes sets in during or 
after the disease. The dropsical symptoms hint at Apis, 
Arsen., Digit., Helonias,Helleb., Hepar, Rhus, Terebinth. 
As special indications we would mention : 

Ailanthus: Adynamic malignant scarlatina with general 
prostration and strongly marked cerebral affection ; violent 
vomiting, dizziness and photophobia, muttering delirium, 
stupor and insensibility; pupils dilated; pulse small, 
weak, often irregular; skin harsh, hot and dry; livid 
eruption, more profuse on forehead and face ; great thirst 
with dry, parched tongue ; the throat congested, dark- 
colored, in some cases ulcerated and attended with great 
glandular swelling. 

A-pis. Dry nose., dryness of the throaty skin very red, hot 
and sensitive, somewhat relieved by cold sponging ; great 
restlessness and nervous agitation; an cedematous appear- 
ance around the ulcers of the throat, with stinging pains ; 
suppression of urine more frequent than repeated and 
painful urination; redness, heat, burning and dryness of 
the tongue ; post scarlatinal dropsy, especially with hydro- 
cephalic symptoms ; scarlatina typhosa, the whole nervous 
system resting under the paralyzing influence of the 
poison. 

Ammonium carh. Enlarged and livid tonsils covered 
with a rapidly degenerating, sticky, offensive mucous 
slime; burning pains in the throat; sticky salivation; 
faintly developed eruption; heaviness of the head; drow- 
siness; stertorous breathing; involuntary stools. Hard 
swelling of the right parotid and lymphatic glands of the 
neck, with tendency to gangrene. 

Arsenicum. The eruption delays or grows suddenly 
pale, livid, or is intermixed with petechise; malignant sore 
throat; different dropsical affections; dyspnoea; extreme 



232 DISEASES OF THE SKIN. 

restlessness and anxiety ; rapid prostration and emaciation ; 
burning heat internally with a cold external surface ; 
frequent weak pulse ; cold jjerspiration. British writers 
recommend Arsen. to hasten desquamation and repair of 
the skin and to restore the lost tone of the kidneys. 

Arum trijohyUum. Malignant scarlatina. Complete 
stoppage of the nose with constant discharge ; breathing 
with open mouth ; wings of the nose ulcerated ; upper 
lips sore and red from the excoriating discharges ; moist 
cough with excoriated feeling in the fauces and larynx 
during the day and spasmodic night cough compelling 
him to sit up ; redness of the tongue with elevated 
papillae; putrid sore throat; submaxillary glands swollen; 
urine abundant and pale; eruption all over the body with 
much itching and restlessness; stiffness of the neck; dur- 
ing desquamation. 

jBajjtlsia. Typhoid scarlatina; extensive ulcerations of 
the throat ; great fetor of the breath ; nausea followed 
by vomiting; tonsils inflamed; diphtheritic ulcers; dry 
sore tongue, coated at first white with reddish papillae here 
and there, followed by a yellowish-brown coating in the 
centre, the edges red and shining; slight delirium ; burn- 
ing heat of face ; opressed breathing ; dysenteric stools ; 
scalding, high-colored urine; continued fever with great 
prostration. 

Baryta carh. Enlargement and induration of the parotids 
and glands of the neck, with pains in the head and ears; 
salivation or else dryness of the throat, and pressing, 
stinging pains when swallowing; glandular sequelae of 
scarlet fever. 

Belladonna. Congestion to the brain, with delirium ; 
horrible illusions on closing the eyes ; wants to sleep and 
cannot sleep; anxious sleep full of dreams, with starting; 
throbbing of the carotid arteries ; involuntary movings 
of the hands to the head ; bending the head backwards ; 
head hotter than other parts of the body ; eyes injected ; face 



SCARLATINA. 233 

fiery red, or pale and puffed, or sunken ; tongue white with 
red edges, or else red all over with raised papillae ; violent 
infiammation of the throat and tonsils, with stitch ings, 
pains and spasmodic contraction; inability to swallow 
liquids, which frequently return through the nostrils ; 
violent thirst, with or without dread of water; suffocating 
sensation on turning the head or touching the pharynx ; 
external swelling of the neck ; vomiting. 

Bryonia. Delay or sudden retrocession of the eruption, 
with symptoms of pleuritis or meningitis. 

Calcarea carb. A perfect specific for the throat affec- 
tions, parotitis or swellings around the neck, especially 
when the eruption is already fading ; also for the affec- 
tions of the chest, even when a tendency to paralysis pre- 
vails ; aphthse on the tonsils and roof of the mouth ; scro- 
fulosis. 

Camj^hora. In desperate cases ; commencing rattling 
in the throat ; forehead and breath hot ; hot perspiration ; 
limbs cold and purple ; sudden and complete prostration 
of the vital forces, with great coldness of the surface ; 
sudden retrocession of the eruption, with cold skin and 
great prostration. 

Carbo veg. Last stage (in articulo mortis) with rattling 
in throat and complete sinking of vitality ; cool breath 
and extremities, and still the patient wants more air or 
wants to be fanned all the time ; sticky, cold perspiration. 

Cuprum. Convulsions before the eruption breaks out, 
or when it quickly disappears, with shrieks ; rolling of 
the eyes ; distortion of the face, mouth and of all the 
flexor muscles ; great restlessness, throwing the body 
about ; vomiting ; cold face, blue lips, coldness all over ; 
sopor ; delirium ; aggravation by contact. 

Gelseminum. Intense fever, with nervous erethism dur- 
ing the prodromal stage ; asthenic forms of scarlet fever, 
with profound and intense prostration of the whole mus- 
cular power ; cerebral intoxication ; pulse frequent, soft, 

17 



234 DISEASES OF THE SKm. 

weak, sometimes imperceptible; impaired vision; spasms 
and paralysis. Symptoms are often remittent. 

Helleborus. Dropsical symptoms in consequence of ne- 
phritis. 

Hepar sulph. For all sequelae which retard conva- 
lescence. Croupy inflammation of the nasal mucous mem- 
brane during proruption and efflorescence ; swelling of the 
parotid and submaxillary glands ; decrease of the urinary 
secretion, with traces of albumen or cylindrical tubuli ; 
fully developed dropsy, with albuminuria; scrofulosis. 

Hydrocyanic acid. The eruption in its early appearance 
is dark-colored and soon becomes livid, only slowly re- 
gaining its color after pressure of the finger ; rapid, feeble 
pulse. 

Hyoscyamus. Great nervous excitability without much 
cerebral hypersemia ; convulsions, with jerking of the 
limbs ; stupid drowsiness or else great nervous excita- 
bility and sleeplessness ; either stupidity or illusions 
of the imagination and senses ; vacant staring at things 
or else sparkling, red, prominent eyes ; embarrassed, in- 
distinct speech ; answers no question or else indistinct 
muttering loquacity ; mouth and throat dry and red ; 
inability to swallow ; abdomen distended, tympanitic ; 
paralysis of the sphincter muscles. 

Kali carb. Swelling of the right parotid gland ; fever 
and restlessness ; always worse about three o'clock in the 
morning ; smell from the mouth like that of old cheese ; 
great dryness of the skin ; oedematous swellings, like 
little bags, between the eyebrows and upper eyelids. 

Lachesis. Scarlatina maligna ; threatening gangrene ; 
deep redness of the tongue and fauces ; the sore throat 
and the membranous deposit commence in the left tonsil 
and spread towards the right ; external swelling of the 
neck and glands, with great sensitiveness even to the 
slightest touch ; saliva abundant and tenacious ; torpid 
peripheral circulation, with cool surface and cold perspi- 



SCARLATINA. 235 

ration ; passive hemorrhages of dark fluid hlood ; urine 
very dark colored ; dullness of the cerebral functions ; 
heaviness of the head and pains deep in the brain, aggra- 
vated by external pressure ; muscular prostration. 

Lachnanthes tinctoria. Stiff neck, the head being drawn 
to one side, after scarlatina and diphtheria. 

Mercurius sol. Sore mouth, studded with small vesi- 
cles, with ptyalism and excessively foul-smelling breath ; 
dirty-yellow coating of the tongue ; great thirst ; ulcer- 
ated throat and tonsils ; swelling of all the glands of the 
neck ; itching and restlessness ; sweating only makes the 
patient feel worse. 

Mercurius protojod. Excessively intense angina; indur- 
ation of the parotid and cervical glands and tonsils ; diph- 
theritic affections, with excessive muscular prostration ; 
desire to lie down, but feels worse during rest and in a 
warm room ; sharp, throbbing, boring pains from within 
outwards deep in the left ear ; urine dark red and copious ; 
after Lachesis, when there is loss of voice, hoarseness, 
can only lisp. 

Muriatic acid. Intense redness all over the body, with 
great drowsiness, or the eruption is scanty and inter- 
spersed with petechise; typhoid condition, with anxiety 
and restlessness ; excessive dryness of the mouth and 
tongue, or aphthae and ulceration of the mouth and throat, 
with fetid breath ; acrid discharge from the nose, excori- 
ating the nostrils and upper lip ; gangrene, with slough- 
ing of the mucous membranes. 

Nitric acid. Scarlatina miliaria with very hot skin ; 
intermittent breathing; tonsils swollen and sore, with 
great difficulty of swallowing ; the angina extends up to 
the nares, with thin, purulent discharge ; especially suita- 
ble to cachectic children. 

Opium. Cerebral oppression, with sopor and heavy 
snoring ; convulsions, with coma and stertorous breath- 
ing continued between the spasms ; cerebral vomiting. 



236 DISEASES OF THE SKIN. 

Phosphorus. Sudden disappearance of the eruption 
without any cause, the chest symptoms becoming very 
alarming; typhoid condition, with dry, hard tongue and 
lips, covered with blackish crusts ; loss of speech and 
hearing ; difficult deglutition ; the patient sinks into an 
apathetic mood, wants nothing and cares for nothing, 
nevertheless there is much restlessness ; inability to re- 
tain the urine ; falling oif of the hair. 

Hhus tox. Eruption vesicular or like millet-seeds ; the 
rash itches violently ; the fever keeps rising, even after 
the dark looking eruption is out, with great restlessness 
at night ; ichorous discharge from the nostrils with swell- 
ing of the glands of the throat, or epistaxis at night ; 
tongue red and smooth ; sopor with delirium ; rheumatism 
of the joints, worse during rest ; oedema of the scrotum 
and penis ; the swollen parotid glands break open, dis- 
charging ichor copiousl}^ ; impure, deep cavity, as if one 
could see into the throat ; skin peels ; relieved by scratch- 
ing, worse from cold and wet. 

Silicea. Scrofulosis, where the glands are greatly in- 
volved and threaten to suppurate. 

Stramonium. Violent convulsions, excited by the 
touch or at the sight of bright, shining things, with spas- 
modic jerking of the limbs ; paralytic trembling of the 
arms and hands, especially of the right, with which he 
constantly reaches into the air and attempts to ,2^rasp 
some imaginary object ; restlessness, with itching of the 
skin ; rash of a coppery-red color, dry and hot skin ; 
coma, with rattling respiration and bloody froth at the 
mouth ; rapid alternation of laughing, crying and sing- 
ing ; stupor ; great dryness of the throat, compelling fre- 
quent drinking; swelling of the tongue, so that it hangs 
from the mouth ; paralysis of the tongue. 

Sulphur. Efflorescences coalesce into large spots as 
red as a boiled lobster, and around these spots the skin is 
unusually white. Cerebral affections with sopor, sudden 



VARIOLA. 237 

starting, distortion of the eyes, not yielding to Bellad. on 
account of the psoric condition of the patient ; bloated 
and shining red face ; dry nose ; dry, cracked, red tongue, 
covered with a brownish mucus ; hot flashes, the skin 
hot and itching ; thirst, and difficulty of swallowing. 

Terebinthina. Albuminuria and uraemia following scar- 
latina ; intoxication, confusion, languor, relieved by pro- 
fuse urination ; aching pains in the whole head, with 
vomiting ; excessive fulness and pressure in the head 
causing her to scream, the pains come and go ; thirst, 
but drinking causes nausea and vomiting of yellow 
mucus ; urine scanty, dark, of a black shade ; ascites, 
oedema, more of the upper parts ; frequent waking and 
tossing about in bed. 

Veratrmn viride. During the febrile stage intense arte- 
rial excitement, with cerebral congestion or irritation of 
the spinal centres ; convulsions, with greatly dilated 
pupils ; perfect sleeplessness. It is also useful in certain 
sequelae of scarlatina, as acute rheumatism, dropsy, when 
inflammatory symptoms are present. 

Zincum. When the dark looking eruption fully covers 
the body, or when the eruption has retroceded and the 
child lies motionless and unconscious ; involuntary jerk- 
ing and twitching of the muscles ; grinding of the teeth ; 
screaming spells ; loss of speech ; occiput very hot and 
forehead covered with a cold perspiration ; the face is dis- 
torted ; body and limbs cold, and of a bluish hue ; pulse 
thread-like and difficult to count ; all symptoms clearly 
pointing to an impending paralysis of the brain. 

Variola, Small-pox, 

Variola is an acute contagious (germinal) disease, of 
febrile character, during the course of which an erythema 
appears on the skin, giving, even at an early period, the 
sensation of granulation to the touch, changing to papules, 
which soon develop into vesicles, pustules and crusts, and 



238 DISEASES OF THE SKIN. 

which runs a definite course. This development may he 
arrested at either of these progressive stages, giving us 
the difference between variola and varioloid. 

Wilson {Lectures^ p. 159) remarks that there is much 
interest in observing the progressive advance in develop- 
ment of the variolous pock : — at first a mere point repre- 
sented by the congested aperture of a follicle ; then a 
conical papule, the follicle being still further congested ; 
thirdly, a vesicle caused by effusion of liquor sanguinis 
around the papule, the centre of the vesicle being, as it 
were, pinned down by its connection with the epithelial 
sheath of the follicle. Effusion now becomes more abun- 
dant and active, the vesicle swells by its circumference, 
while it is depressed or, as it is technically termed, um- 
bilicated in the centre, and so the pathognomonic vesicle 
of variola and vaccinia is produced. Later on the cavity 
of the vesicle is invaded by pus, the pas accumulates and 
breaks through the central point of adhesion of the vesi- 
cle, and so the arched dome of the mature small-pox pus- 
tule is produced. Subsequently the pustule and pus both 
dry up into an amber-colored scab, which remains for 
some time imbedded in the skin, and when at length 
the scab falls off a permanent cicatrix is left behind. 

There are four stages in small-pox. The prodromal 
stage is characterized by fever, pain in the joints and 
back and in the scrobiculus cordis. The intensity of the 
symptoms does not always indicate the severity of the 
disease, for very severe febrile phenomena may precede 
a mild attack. The skin is sometimes reddened by an 
erythematous blush. Exacerbations occur in the even- 
ing. This stage lasts from twenty-four to seventy-two 
hours, and if longer gives an unfavorable prognosis (in 
drunkards and in pregnant and puerperal women). 

The stadium eruptionis follows, the eruption making its 
appearance on the third day after the first occurrence of 
constitutional disturbance, and traveling over the entire 



VARIOLA. 239 

body within a day, thus relieving the febrile onset. The 
spots appear first of all on the face, about the forehead, 
and then extend to the trunk and limbs. On the second 
day of eruption — fourth of disease — the papules are trans- 
formed into vesicles. On the third day of eruption — fifth 
of disease — umbilication commences as a central depres- 
sion, the vesicles change into whitish pustules, surrounded 
by an inflamed areola. The pustule matures on the fifth 
or sixth day, and is complete on the eighth day. Between 
the eighth and eleventh day of the eruption secondary or 
suppurative fever sets in, when the stage of dessication is 
reached. The crusts fall ofif in the next three or four 
days (fifteenth day of disease), exposing raw, red surfaces, 
which desquamate and by and by leave behind red-look- 
ing marks, which gradually fade, and too often assume 
the well-known aspect of small-pox marks. 

Small-pox is said to be discrete when the pustules are 
scattered over the surface ; coherent when the eruption is 
plentiful but the closely packed pocks are still distinct ; 
confluent when they run together; modified when the 
disease succeeds to a prior attack or occurs after inocula- 
tion. 

The mucous membrane is involved in the variolous 
process and presents eruptions similar to those of the skin, 
but the course of the eruption dififers, and this difiference 
finds its explanation in the structure of the mucous mem- 
brane and its glands, in the quantity and temperature of 
its secretion, and in the limited access of atmospheric 
air ; each of these peculiarities tending to efifect a rapid 
development, a speedy collapse, and finally a complete 
detachment of the eruption. While, therefore, on the 
beginning of the fourth day the swollen follicles on the 
outer integument are in the form of papules, we notice 
already on the mucous membrane, white, aphthous-like 
efilorescences of the size of the head of a pin, on a red- 
dened and swollen base ; these efflorescences increase in 



240 DISEASES OF THE SKIN. 

number and size, and when the formation of vesicles is 
hardly completed on the outer integument, those on the 
mucous membrane are found to be in the stage of des- 
quamation. Thus we also find them on the mucous 
membrane of the nose, pharynx and upper third of the 
oesophagus, sometimes in the stomach, on the epiglottis, 
in the larynx and trachea, on the bronchi to the third 
division, in the urethra and rectum, on the labia, on the 
conjunctiva palpebrarum et bulbi, and in the external 
auditory canal. The symptoms caused by small-pox on 
the digestive and respiratory tracts are: great pain in 
swallowing (with infants sometimes so severe that they 
refuse all nourishment and die of starvation), flow of 
saliva, hoarseness and symptoms of bronchitis from the 
catarrhal inflammation of the mucous membranes. Ca- 
tarrhal ulcers in the intestinal canal may produce diar- 
rhoea. 

Variola has long been considered one of the most fatal 
of all diseases, which fatality is due to the association of 
great and persistent putrefactive virulence in the disease 
germs ; and we find, therefore, already in the prodromal 
stage, great depression from the excess of putrefactive 
force; and sleeplessness and delirium are permanent fea- 
tures of the variolous fever, and frequently last during the 
whole disease. This putrefactive agency is sometimes 
seen in the sanguineous contents of the vesicles or hemor- 
rhage round their bases ; and even after pustulation, the 
intermittent fever that may replace the continued fever 
shows that this agency is still permanent and influential. 

Thus patients may die of small-pox at any period of its 
course from the putrefactive action. They may also die 
from its irritative action, exhausted by the contest under 
unfavorable circumstances ; they may die from the me- 
chanical results of the swelling and oedema that accom- 
pany the eruption ; and they may die from effusion into 
various cavities, or from the inflammations of various 



VAEIOLA. 241 

organs, tbat are concomitants of continued fever. Hebra 
states that he has noticed that when any one marked 
with small-pox has a second attack it is always fatal. 

It may be well to remember that the severity of small- 
pox is always in direct ratio to the number of pustules 
formed ; for the more numerous the points formed by the 
irritant action, the more favorable is the case to the 
growth of the disease germs, with their putrefactive 
action. 

Simon remarks that the urinary secretion of variola 
midergoes changes having relation to the various stages 
of the disease. During the prodromal fever, the urine 
is diminished in quantity and increased in specific gravity, 
its color is deep and red, it is frequently turbid, and often 
contains a small quantity of albumen. During the erup- 
tive stage the urinary secretion is diminished, is of an un- 
pleasant odor, turbid, with an apparently purulent mucous 
sediment, and continues in the same state during the 
suppurative stage ; during the period of desquamation, it 
is either normal or ansemic ; in the putrid form the urine 
appears decomposed, ammoniacal, and not unfrequently of 
a dark-red color, from the presence of heematin. 

Therapeutics. Hydropathic treatment : First. During 
the prodromal stage packs in sheets wrung out of tepid 
water, and cold compresses on the head, frequently 
changed. Second. Tepid full-baths during the eruption 
and during the suppurative stage, at least three times a 
day. We find that the patient sleeps quietly for several 
hours after each bath. Third. During dessication, full- 
baths again, which hasten the falling off of the crusts but 
do not prevent the formation of pits. 

Proper ventilation is the most important point in the 
treatment of all acute germinal diseases. With a current 
of air all the exhaled gases pass away, lessening the 
danger of re-absorption and of communication. Perfect 
ventilation can only be obtained by a good open fire, 



242 DISEASES OF THE SKIN. 

in winter or summer, and a moderate sized room. With 
these conditions the temperature can be kept neither too 
cold nor too hot, and without draughts. (In Vienna, 
small-pox patients are kept in tents open to the air, and 
they recover better and quicker than when kept in bar- 
racks or in a hospital.) The room should be devoid of 
every article but such as are absolutely necessary, and 
to lessen the danger of the disease spreading, the air 
should be kept impregnated with carbolic acid vapor, 
all clothes placed in carbolized water before removal, all 
toys, books, newspapers and other perishable articles 
burnt in the room, and after the case is over, the room 
should be fumigated with sulphur fumes and woolen 
articles should be baked in an oven. 

The uncomplicated form of small-pox requires only ex- 
pectant treatment, a cooling regimen, sponging the skin 
with tepid water and, where the tongue is coated, open- 
ing the bowels by gentle purgatives. 

The Carbonate of Ammonia treatment is the only one 
yet known which appears to have any decided elFect 
upon variola. Vaccination has been observed to possess 
the power of modifying variola, even when an attack of 
the latter has commenced. As regards local treatment, 
every precaution should be taken to prevent the rupture 
and laceration of the pustules by the nails of the patient, 
in efforts made to relieve the itching by which the dessi- 
cating process is accompanied. To relieve the heat and 
dryness of the skin, some recommend anointing the sur- 
face plentifully, especially the face and hands, with the 
benzoated ointment of oxide of zinc. This should be 
applied pretty thickly, and repeated as often as it dries 
up or becomes thin from wiping or rubbing. Some frag- 
ments of tissue paper pressed gently on the ointment will 
further contribute to the protection of the skin. 

Great benefit is derived from opening the ynatured pustules 
with a sharp lancet in a horizontal direction^ gently pressing 



VARIOLA. 243 

from them their contents, and removing the latter hy means of 
a sponge moistened with carholized water or with an infusion 
of pojjpies. This plan accelerates materially the healing 
of the ulcerations, and prevents the formation of deep and 
disfiguring cicatrices. The sponges ought to be frequently 
renewed and those used burnt up. Others recommend 
the mercurial ectrotic treatment {^, Mercurj^ 95 parts, 
balsam of sty rax 48, common plaster 312, wax, resin, tur- 
pentine, equal parts 16, gum ammoniac, bdellium, oliba- 
num, myrrh, aa 5, saffron 3, spirits of lavender 2. Misce, 
f. emplastrum). The plaster should remain on for at least 
three and up to seven days, the whole face being covered 
with a mask made of this plaster, merely leaving a space 
for the mouth, nostrils and eyes. The proper period for 
its application is the second or third day of the eruption. 
Bennet, of Edinburgh, uses a more simple mercurial oint- 
ment with equal benefit (^. Unguentum Hydrargyri fort. 
5 i., powdered starch ^ i.), applying it morning and even- 
ing. 

The application of collodion for ectrotic purposes is 
highly recommended. It possesses the advantages of ex- 
treme cleanliness and of enabling the physician to see 
what is passing beneath. Its contractility also increases 
its usefulness, and its application is free from the objec- 
tion of producing salivation. 

Many authorities assert that pitting can be entirely 
obviated if the light be fully shut out. In proportion to 
the exclusion of light and air from the pustules their de- 
velopment is checked, they become shrivelled and quickly 
dry up. 

Concomitant symptoms or diseased states, as pneumo- 
nia or pleurisy, etc., must be treated pro re nata. They 
frequently have no infl.uence whatever on the course of 
the cutaneous eruption. 

Besides the pits, which frequently remain during life, 
special mention should be made of some affections of the 



244 DISEASES OF THE SKIN, 

hair follicles and sebaceous glands whicli appear soon 
after the termination of variola, and disfigure the skin of 
the face, especially that of the nose, and may even result 
in the formation of painful tumors, which are designated 
as false keloid. Such affections take on the form of 
comedo, of acne pustulosa and indurata, of wart-like 
elevations, in whose centre the orifice of the follicle is 
seen (variola verrucosa), of teat-like, soft, pendant tumors, 
or of cicatricial hands. The same remedies which are of 
service in seborrhoea and acne will also be used with suc- 
cess here. The excrescences and bands of skin are to be 
removed with the scissors. 

Westphal {Archiv f. Dennatologie, 1872) directs our 
attention to morbid states of the central nervous system, 
showing themselves by disturbances of speech, by ataxia 
of the extremities, and by paralysis of the sphincter ani 
et vesicae, with decubitus. 

Homoeopathic Therapeutics, During the fever period : 
Aeon., Bellad., Gelsem., Veratr. vir. During the eruptive 
fever : Ant. crud., Bellad., Cauloph., Cimicifuga, Hydrast., 
Mercur., Stramon. During maturity : Baptisia, Carbol. 
ac, Hydrast., Mercur., Sulphur, Thuya, Variolin. During 
dessication: Mercur., Sulphur, Thuya, Variolin. For 
hemorrhagic pocks : Amm. carb., Arsen., Crocus, Baptisia, 
Ipec, Hamam., Solan, nigr., Sulph. ac. 

Aconite. First and early part of the second stage. Ap- 
prehension of a fatal issue ; high fever ; great restlessness. 

Ammonium mur. The eruption is well developed upon 
the trunk and upper extremities, but scanty on the lower 
extremities ; sore throat with swelling about the neck ; 
hemorrhages. 

Ammonium carb. Hemorrhagic diathesis from fluidity 
of the blood and dissolution of the red blood corpuscles. 

Antimonium crud. Gastric state, with vomiting and 
heavily coated tongue, especially during the prodromal 
stage. 



VARIOLA, 245 

Apis met. Erysipelatous redness and swelling, with 
stinging, burning pains in the skin and throat ; absence 
of thirst. At the later period, when there is great 
dyspnoea, restlessness and scantiness of urine. 

Arsenic, Asthenic cases, with great sinking of strength, 
burning heat, frequent small pulse, great thirst, great 
restlessness ; irregularly developed variola with typhoid 
tendency ; hemorrhagic variola ; metastasis to the mouth 
and throat, in the last part of the eruptive period. 

Bai)tisia. Typhoid symptoms ; fetid breath ; pustules 
appear thickly upon the palatine arch, tonsils, uvula and 
in the nasal cavities, but scantily on the skin ; profuse 
salivation ; great prostration, with excessive pains in 
sacral region. After taking Baptisia the appetite im- 
proves and the patient is able to take and to retain nour- 
ishment. 

Belladonna. Cerebral congestion, with high fever dur- 
ing the first stage ; intense swelling of the skin and of 
the mucous membrane, with tickling cough, dysuria and 
tenesmus of the bladder; sleeplessness with desire to 
sleep ; delirium and convulsions ; photophobia ; ophthal- 
mia. 

Bryonia, Precursory stage with gastric symptoms, or 
later when the chest symptoms indicate it. 

Camphora. Sudden collapse with coldness of surface, 
the swelling of the skin suddenly sinks in, and the pus- 
tules seem to dry up from the complete giving out of the 
life-forces ; excessive weakness ; the patient though cold, 
cannot bear to be covered. It must be given low and 
frequently repeated. 

Cantharis. Hemorrhagic variola ; patient passes bloody 
urine with cutting, burning pains. 

Carbo veg. Asthenic variola, with cold breath and ex- 
cessive prostration ; great desire for fresh air ; livid, purple 
look of the eruption ; Hippocratic face. 

Chamomilla. Great fretfulness of children during the 
eruptive stage, with the usual crossness. 



243 DISEASES OF THE SKIN. 

China. Variola hemorrhagica, with great exhaustion 
from the copious, painless stools ; very useful for the ex- 
hausting debility following a severe attack. 

Cimicifuga. In the precursory stage, for the muscular 
pains ; during the eruptive stage, great wakefulness, 
mental excitement, as if the brain would burst out ; it 
modifies the disease, prevents the development of pus- 
tules, and thus reduces the danger of pitting. 

Coffea. Restlessness and bilious vomiting at the com- 
mencement of the disease. 

Gelseminum. Intense and painful fever at the com- 
mencement of the disease, with tendency to convulsions ; 
predominance of nervous symptoms, as nervous chills, 
restlessness. 

Hamamelis. Hemorrhagic variola, the blood dark, 
venous. 

Hejpar. Croupy cough ; during the suppurative fever. 

Hydrastis. Great swelling of the skin, with redness 
and itching ; great soreness of the throat and buccal 
cavity, which are full of pustules ; dark pustules ; prostra- 
tion. 

Hyosciamus. Eruption does not come out at the proper 
time, causing great nervous excitement, with rage, anguish, 
delirium, coming on in paroxysms ; patient wants con- 
stantly to get out of bed and to be uncovered. 

Ipecacuanha. Gastricism during eruptive stage, with 
constant nausea. 

Mercurius. It is especially indicated during the stage 
of maturation ; ptyalism ; tendency of blood to the head ; 
irritation of the mucous membranes ; moist swollen 
tongue, with great thirst ; diarrhoea or dysentery, with 
tenesmus, especially during the period of dessication. 

Phosphorus. Hemorrhagic diathesis ; bloody contents 
of the pustules ; hard, dry, exhausting cough, with pain 
or feeling of rawness in the chest; bronchitis; hemor- 
rhage from the lungs. 



VAETOLA. 247 

Phosphoric add. Confluent variola, with typhoid con- 
dition ; the j^ustules do not fill with pus, but degenerate 
into large blisters, which, bursting, leave an excoriated 
surface; the patient is stupid, does not want anything, 
not even a drink ; answers questions, but does not talk 
otherwise ; watery diarrhoea. 

Hhus fox. Typhoid symptoms, dry tongue, great rest- 
lessness, patient wants to get out of bed in spite of his 
great debility ; sordes on the lips and teeth ; confluent 
small-pox, with great swelling at first, but afterwards the 
eruption shrinks and looks livid. 

Sarracenia. '^o reliable indications yet, though highly 
commended. When given, it should be in the form of 
an infusion. 

Silicea. The suppurative stage exhausts the strength of 
the patient and dessication is delayed. Also for caries of 
bones following severe attacks of small -pox, with fistu- 
lous openings and discharge of thin pus and bony frag- 
ments. 

Solanum nigrum. Hemorrhagic variola. 

Sulphur. May be indicated during any stage of the 
disease as an intercurrent remedy when others seem to 
fail, or when there is any tendency of metastasis to the 
brain. It also acts well during dessication. 

Tartarus emet. When the eruption is tardy in coming 
out, with nausea, vomiting, sleepiness, or for suppression 
of the eruption. (Some allopathic physicians rub Tart, 
emet. ointment on the sternum, and as the pustules form 
on the chest the head and throat will be relieved.) Putrid 
variola with typhoid symptoms, especially pneumonia 
typhosa, with tendency to paralysis of the lungs ; variola, 
with vomiting of viscid mucus, clogging the air passages ; 
pustules in the larynx, mouth, throat and digestive 
organs. 

Thuya occidentalis. Pains in upper arms, fingers and 
hands, with fulness and soreness of throat ; the areola 



248 DISEASES OF THE SKIK 

around the pustules is very marked and dark red ; pustules 
milky and flat, painful to the touch. Bonninghausen 
used it as a preventive. 

Variolinma. Especially where the disease throws it- 
self with full force on the throat. Given steadily during 
the disease its progress will be milder. It changes imper- 
fect pustules into regular ones, which soon dry up, pro- 
motes suppuration and exsiccation, and prevents all scars. 
(Raue's Pathology^ p. 605.) 

Varioloid, Variola Modificata. 

^N'eumann (l. c, 91) assumes three forms of small-pox, 
each according to the intensity of the process : fiirst, 
Variola vera, duration thirty-one days ; second. Vario- 
loid, duration twenty-one days ; third. Varicella, dura- 
tion fourteen days. He considers the morbid process the 
same in all the three forms ; the eruptions, as well in their 
anatomical structure as in their appearance, are entirely 
identical, and the intensity of the disease only varies ; 
the duration of the morbid process^ which stands in exact 
relation to the number of efflorescences and the in- 
tensity of the phenomena, serves as the peculiar charac- 
teristic of the different forms of variola. The eruption 
occurs also on the mucous membrane of the mouth and 
pharynx, and the central depression of the pustule is not 
solely characteristic of variola, for we see it in most 
affections of the hair-follicles, and it may be entirely 
absent when the vari are not large. 

Fox {I, c., 83) remarks, that the distinction of variola 
and varioloid is well marked in the extreme degrees of 
either disease, but they shade the one into the other by 
insensible stages. At times cases are met where the 
eruption is simply papular and scarcely reaches the vesi- 
cular stage, yet is traceable to the action of the small-pox 
poison. In modified variola the secondary fever is ab- 
sent ; the only stages present are those of primary fever 



VARICELLA. 249 

and eruption, and it may abort in any of the stages which 
are passed through by ordinary variola. 

Hillier {L c, 295) considers varioloid the form which 
small-pox assumes when it occurs after vaccination or a 
previous attack of small-pox. The eruption often appears 
earlier, and is first seen on the wrist and on the nose. 
The eruption runs a more rapid course. Some pustules 
are regularly formed and present the central depression, 
but they are usually small. Some papules do not advance 
to the vesicular stage, and some vesicles dry up without 
suppuration. The constitutional disturbance is almost at 
an end when the eruption has appeared. 

Varicella. Chicken-pox. 

The disease germs of varicella are very contagious, but 
not very virulent. Children are the usual patients, and 
they have generally the disease only once. A short and 
usually not very sharp febrile attack of twenty-four hours' 
duration, is followed by the eruption of papules on various 
parts of the body, which quickly become vesicles, and 
these more or less purulent. The eruption takes place in 
successive crops ; each batch lasting, from their com- 
mencement to final disappearance, about a week, and then 
leaving a permanent scar or mark. Varicella varies 
greatly in severity, but is never of great importance. 
Adults have occasionally considerable sickness, and much 
more fever than the slightness of the accompanying erup- 
tion would lead us to expect. The eruption may also ap- 
pear on the mucous membrane of the buccal cavity and of 
the eye. Henoch {Berlin Klin. Wochenschrift, 18, 1874) 
and Kassowitz deny that varicella is a modified small- 
pox, as, though the number of efflorescences may be very 
great, it still runs a distinct course, never shows the 
depression of variola, and never leaves any mark. Though 
varicella may rage epidemically, no case is ever observed 
where from its contagion persons are stricken down by 

18 



250 DISEASES OF THE SKIN. 

variola. The disease germs must be, therefore, entirely 
diflerent from those of variola and varioloid. 

It seldom needs any treatment. The occasionally 
attending symptoms may be met by Aeon., Ant. crud., 
Bell., Merc, Puis., Ehus., Tart, emet., etc. 

West and other authorities assert that measles and 
varicella are often observed to follow one another in quick 
succession in the same patient, but the question is still 
undicided whether there is any relationship between the 
two disease germs. 

Vaccinia, 

Yariola vaccinia, the small-pox of cattle, is a contagi- 
ous inj&ammation of the skin, prevalent among cattle and 
occasionally communicated to man. It is characterized 
by the development, upon an inflamed basis, of multilocu- 
lar and umbilicated vesicles, which pass by degrees iiito 
the pustular form, and terminate in hard, dark-brown 
scabs, the latter leaving behind deep and permanent 
cicatrices. Constitutional symptoms accompany the 
eruption, which are mild during the first stages of the 
vesicle, but become more severe and constitute a second- 
ary fever when the local inflammation arrives at its 
height and the suppurative process is about to be estab- 
lished. Although vaccination gives no absolute protec- 
tion against small-pox, yet the severity of the process is 
so modified thereby, that those who have been vaccinated 
well mostly have modified variola, and the mortality of 
the vaccinated to the non-vaccinated is as 4 to 14. 

In performing vaccination, either the cow-pox lymph or 
humanized virus is used. Great care should be taken to 
get reliable lymph, as cow-pox lymph quickly loses its 
virtue, and when using humanized virus only that of 
healthy children, sprung from healthy parent stock, ought 
to be used. A dose of Sulphur should be given on the 
fourth day after the operation. If any unpleasant symp- 



VACCINIA. 251 

toms, such as erysipelas, eruptions, etc. — the off-shoots of 
latent dyscrasia — are developed, Silicia^ in a high potenc}^ 
and in a single dose, is indicated. Psorinum may be 
needed, or even some other remedy, according to the pre- 
senting symptoms, such as Graphites, Petroleum, etc. 

There are authorities who deny the co-existence of 
different exanthemata in the same patient ; and wherever 
this is said to have happened, they term it an erythema 
variolosum, or affirm that one exanthema followed the 
other, and consider it as impossible that two disease germs 
can produce their efflorescences at the same time, and that 
such eruptions can run their courses simultaneously. We 
have seen that varicella and measles may co-exist, and 
Dr. Auspitz, of Vienna, in the Archiv. /. Derynatologie, 
Z, 1874, publishes two cases where, in adults, variola 
and scarlatina ran their course simultaneously. A 
boy, eet. 17, entered the hospital with variola in its 
fourth day, showing pustules already on the face and 
upper extremities and vesicles sparsely diffused over the 
trunk and lower extremities, but the whole body was 
covered by a diffuse erythema. On the eighth day of the 
variola the whole body was covered with a deep scarlet 
redness ; the uvula and palatine arch and fauces livid ; on 
some points dried variola pustules. On the ninth day of 
the variola the scarlatina was more intense, but the variola 
pustules were drying up ; some albumen in the urine; final- 
ly desquamation in large pieces. The second interesting 
case is a variola post-variolam. A boy, set. 19, entered the 
hospital on the fifth day of the disease, which ran a normal 
course, and on the eighth day dessication began. On the 
sixteenth day from the beginning of the first eruption, a 
new febrile attack set in, with pain in the loins, pulse 
120, temp. 104; this prodromal stage lasted three or four 
days, when the whole body became again covered with 
variola papules, running their regular course to suppura- 
tion and dessication. Richter describes a similar case of 



252 



DISEASES OF THE SKIN. 



variola after variolam on the thirteenth day of the dis- 
ease, and Speyer another, after ten days. 

Tables of Differential Diagnosis. 



Rotheln. 

Scarcely any precursory stage, 
the eruption ushers in the dis- 
ease. 

Eruption on the first day and 
generally spreads rapidly all 
over. 

Eruption closely resembles 
measles. In some cases more 
general efflorescence ; fades rap- 
idly ; all gone by the second or 
third day ; little or no desquama- 
tion. 

Catarrhal symptoms rarely 
present and quickly disappear. 

Bronchial symptoms esi)eci- 
ally absent. 

No sequelae. 

An attack of measles does not 
and vice versa. 

Rotheln. 

No precursory symptoms. 

Eruption on the first day on 
the face and spreads rapidly over 
the body. 

Eruption rarely confluent, dis- 
crete, crescentic, papular; gone 
by the second day, followed by 
no desquamation. 

Rarely sore throat or bron- 
chitis, some coryza. 

Tongue white with red edges. 

No sequelae. 



Measles. 
Preliminary symptoms. Fever 
and catarrhal symptoms. 

Eruption on the fourth day, 
spreads from the face all over in 
about forty-eight hours. 

Eruption crescentic, with inter- 
vening healthy skin, lasts about 
five days, followed by desquama- 
tion. 



Catarrhal symptoms character- 
istic. 

Bronchial symptoms always 
present. 

Generally sequelae, 
protect from an attack of rotheln 

Scarlatina. 
Precursory symptoms severe. 
Eruption on the second day, 
first on neck and chest. 

Eruption efilorescent, uniform 
desquamation after the seventh 
day. 

Sore throat, rarely coryza or 
bronchitis. 
Red " raspberry" tongue. 
Sequelae. 



TABLES OF DIFFERENTIAL DIAGNOSIS. 



253 



An attack of scarlatina does not protect from an attack of rotheln 
and vice versa. ( U. S. M. & S. J., Oct., 1871.) 



Measles. 

Rash appears on the fourth 
day. 

Begins near roots of the hairs 
in spots slightly elevated. 

Color brownish-red. 

Crescentic arrangement, with 
normal skin between redness. 

Slight branny desquamation. 

Accompanying symptoms, co- 
ryza and cough, heat of skin 
moderate. 



Scarlatina. 
Rash appears on the second 
day. 
Begins on neck and face. 

Color rose-red or crimson. 
Punctiform, almost uniform. 

Copious desquamation. 

Accompanying symptoms, sore 
throat, strawberry tongue, great 
heat of skin, rapid pulse. 



Variola. 
Rash on third day. 

First on forehead. 

Shotty papules, go- 
ing on to umbilicated 
vesicles and then to 
pustules, with much 
inflammation around ; 
often confluent. 

Thick scabbing and 
scars left. 

Accompanying 
symptoms, pain in 
back, vomiting and fe- 
ver; secondary fever. 



Varioloid. 

Rash on second or 
third day. 

First on wrists. 

Shotty papules, soon 
becoming vesicles on- 
ly, others pustular, but 
pustules small and not 
confluent. 

Scabs seldom leav- 
ing scars. 

Symptoms as in va- 
riola, but milder at 
first ; no secondary fe- 
ver. 



Varicella, 

Rash on first or sec- 
ond day. 

First on back. 

Papules, some not 
advancing, others ve- 
sicular, a few pustular, 
without umbilication ; 
eruption irregular in 
progress. 

Usually no scars. 

Constitutional symp- 
toms insignificant. 



Hillier {I. c, 299). 



JBJrysipelas, 

Erysipelas is a diffuse inflammation of the skin, as a 
rule contagious (caused by disease germs), and consists in 



254 DISEASES OF THE SKIN. 

a highly hypersemic state of the cutis, in a profuse infil- 
tration of serum within the cutis and subcutaneous areolar 
tissue, and in a participation of the lymphatics in the 
inflammatory process. 

The common features of the disease termed erysipelas 
are irritation and putrefaction ; the special features are 
absence of protective power against future attacks, and 
the increase locally of the disease germs. The erysipela- 
tous germs are very contagious, and their virulence grows 
with increase of quantity. The disease generally begins 
with a sharp chill, during which the temperature of the 
body rises to 104° F. and over. Accompanying this are 
disturbances of the brain and stomach, which increase 
with the advance of the disease, and disappear with the 
abatement of the skin symptoms, which follows in the 
course of from eight to fourteen days. As the disease 
subsides, the skin becomes of a pale-red color, the swell- 
ing decreases, but some cedematous thickening may 
remain for some time; the skin is now covered with 
abundant scales or crusts, and suppuration of the cellular 
tissue often occurs ; also abscesses and furuncles. The 
hairs fall from the head and beard, but grow again after- 
ward. Occasionally a gangrenous destruction of some 
portion of the skin occurs. It is usually divided into 
E. simplex and E. phlegmonodes. 

In erysipelas simplex the inflammatory action is sthenic, 
the general symptoms are not grave, and the structures, 
though perhaps extensively are not very deeply implicated. 
In erysipelas phlegmonodes the general sj^mptoms of in- 
vasion are severe, rigors are severe, fever runs high, deli- 
rium is commonly present, typhoid symptoms often set 
in at an early date, and the patient is in considerable 
danger and death may ensue. The characteristic of the 
local disease is the great rarity of the occurrence of reso- 
lution ; suppuration ensues which may be very extensive, 
the cellular tissue, the fascial, the intermuscular septa, all 



ERYSIPELAS. 255 

partake in the diseased action ; the erysipelatous blush 
nearly disappears, but the swelling increases. About the 
fifth or sixth day either improvement sets in, or, where the 
virus is very active or the patient's health markedly bad, 
the sloughing and the destruction of the cellular tis- 
sue may be extensive (E. gangrsenosum). Death mostly 
ensues by pyaemia, pneumonia and oedema cerebri. Ery- 
sipelas is also divided into idiopathic, arising from consti- 
tutional causes, and symptomatic or traumatic erysipelas, 
following a wound or injury in any part of the body; a 
blood-poisoning, a disease germ, in either case spreading 
by lymphatic absorption and diffusing itself all over 
through the veins, is the cause of the erysipelas, although 
we may not always be able to detect the source of the 
infection. 

Erysipelas simplex hardly needs any treatment. A 
favorite remedy with the old school is the tincture of the 
perchloride of iron, ten to twenty drops every two hours. 
Authorities differ greatly as to external applications. 
Great relief is obtained by dusting the parts affected with 
powdered starch or flour; others praise carbonate of 
ammonia or quinine, with a little acid for internal treat- 
ment. As to whether erysipelas should be treated with 
warm or cold, even ice-cold, applications, is still undecided, 
most authors preferring cold applications when there is 
high fever and great tension of the skin, and at the 
decline of the disease or where suppuration threatens, 
changing to warm poulticing. To check the progress of 
the inflammation, pencilling with iodine, tincture of can- 
tharides or a strong solution of nitrate of silver has been 
recommended. 

Homoeopathic Treatment. During the febrile stage ; 
Aeon., Gels., Veratr. vir. ; for simple erysipelas: Apis, 
Bell.; where bullae arise: Canth., Rhus; for gangrene: 
Ars., Garb, veg., Lach. 

Aconite. General feverishness, with local inflammation 
and tenderness. 



256 DISEASES OF THE SKW. 

Ammonmm carh. Erysipelas of old people, with cerebral 
symptoms while the eruption is still out. 

Apis. Erysipelas of the face and scalp, with typhoid 
tendency ; swelling on the side of the face and temples, 
whitish or inclining to a delicate pink color ; puffiness of 
the face, especially of the eyelids, with burning and sting- 
ing of the skin ; sphacelated spots here and there ; suita- 
ble in many cases after Bell., or in persons suffering fre- 
quently from the disease, and especially in women and 
children. 

Belladonna. Smooth, bright-red eruption, nearly shin- 
ing ; cerebral symptoms predominate ; delirium ; stitching 
headache, furious look, beating of the carotids, twitch- 
ings and convulsions, violent thirst, constipation, brown- 
red, jumentous urine ; especially when the right side is 
affected. 

Borax. Erysipelas of the left side of the face, painful 
when laughing ; very nervous, cannot sleep well, starts at 
the least noise. 

Cantharides. Erysipelas bullosum, with much irritation 
and burning; serous exudation; typhoid erysipelas, with 
great restlessness, unquenchable thirst and disgust for all 
kinds of drink ; vomiting with violent retching. 

Comocladia. Burning on face and eyes, worse towards 
evening ; excessive swelling of the face, with tormenting 
itching and swelling ; corrosive itching of the head, with 
shooting pains, relieved by movement. 

Graphites. Tendency to repeated attacks of erysipelas 
bullosum, spreading from the nape of the neck to the 
face, and even perspiration does not relieve ; phlegmonous 
erysipelas of the head and face, with burning, tingling 
pain, glutinous exudation, with congestion to the head 
and roaring in the ears, swelling and induration of the 
lymphatics and glands. 

Lachesis. "When the swelling assumes a purplish hue, 
and the patient begins to talk deliriously as soon as he 



TYPHUS AND TYPHOID FEVER. 257 

shuts his eyes ; bloated red face, attended with heat, 
headache and coldness of the extremities ; one sided tense 
headache, extending from occiput to eyes, with vomit- 
ing, vertigo, tendency to faint and numbness ; E. gangrse- 
nosum. 

Fhosphoric acid. E. in consequence of wounds by 
which the periosteum is affected. Perfect apathy. 

Pulsatilla. E. migrans ; E. caused by indigestion, or 
when the patient suffers from indigestion when the erup- 
tion fades. 

Hhus radicans. Phlegmonous erysipelas, especially 
when it begins at the ankle and gradually moves up the 
leg, running up in the deeper tissues. 

Bhus toxicodendron. Vesicular erysipelas, whether on 
the scalp, face or elsewhere, with swelling and large 
shining redness ; great restlessness ; tendency rather to in- 
vade surface, than to penetrate deeply into the tissues ; 
rheumatoid pains all over. 

Silicea. Injuries of the bones ; excessive suppuration, 
with hectic fever, caused by deep-seated phlegmonous 
erysipelas. 

Sulphur. To eradicate the tendency to repeated attacks 
of erysipelas. 

Veratrum viride. Vesicular erysipelas with cerebral 
symptoms. 

Typhus and Typhoid Fever. 

As it is hardly right to describe these zymotic diseases as 
" an irritation and eruption on the skin and mucous mem- 
brane of the intestinal canal, with fever of an infectious 
and contagious kind," we consider it a better plan to 
leave the description and treatment of these diseases to 
writers on general medicine, mentioning in this place only 
the cutaneous symptoms. 

The typhus rash consists of two component parts : 
Eirst. A subcutaneous mottling of a more or less livid 



258 DISEASES OF THE SKIN. 

hue, and diiFused generally over the body. Second. Pete- 
chige, small, scattered all over the body and showing out 
from the mottling ; at first these are slightly raised and 
their color increases gradually in intensity ; they do not 
fade by pressure, except slightly in the very early stages. 
The eruption of typhus is not prolonged by successive 
crops. It makes its appearance between the fifth and 
eighth day of the disease, and disappears a few days 
before convalescence. 

The typhoid rash is characterized by the appearance 
between the eighth and twelfth day of disease of the rose- 
colored, elevated, circular, softish spots, about a line or so 
in diameter, on the abdomen, back of hand, arms, chest 
and back (if kept warm). They disappear by pressure 
and they appear in successive crops, each spot lasting 
three to four days and then gradually fading. There 
may be from half a dozen to a score of these spots present 
at one and the same time. Sudamina often co-exist with 
them. (Fox, L c, 87.) 



Indications for JRemedies for the Exanthe- 
Tnata, 

FROM THE LECTURES OF PROF. A. R. MORGAN. 

Scarlatina, 

Belladonna. Great nervous anxiety and restlessness ; 
dilated pupils (with stupor, Hyosc, Laches., Opium, 
Stramon.). The delirium is fantastic, especially on clos- 
ing the eyes. Rapid speech (Arsen., Laches., Hepar s. c, 
Mercur.). Grinding the teeth (Apis, Arsen., Hyosc, 
Stramon.). (Arsen. patients grind their teeth when 
asleep.) Chay^acteristics. Sore throat, with stitches extend- 
ing to right parotid gland and ear (Hepar s. c, Ignat., 
Mercur., I^ux vom.). The internal throat is of a bright 



REMEDIES FOR THE EXANTHEMATA. 259 

scarlet-red color (Aeon., Laches., Mercur.). Constriction 
of the oesophagus (Alum., Arsen., Lobel.). Chokino; sen- 
sation in the throat, which prevents swallowing [Canthar. 
Laches., l^ux vom.). Pain worse on swallowing; aggra 
vated by talking (Mercur., Rhus tox., Staphis.) ; very 
much worse on turning the head (Brjon., Hepar s. c. 
Laches.). Continual inclination to swallow (Laches. 
Mercur.) ; feels as if he would choke if he did not swallow 
Constant desire to drink ; drinks hurriedl}^, spilling the 
fluid all over him. (Aversion to drink, Canthar.). Ex- 
cessive dryness of the throat. Urine either suppressed 
or scanty, dark-red and frequently turbid, and of strong 
odor (Benz. ac). Great desire to sleep, but can't sleep, or 
stupor, with snoring (Rux vom.. Opium). Diffused red- 
ness of surface of body. 

Ailanthus, Sudden and terrible attacks, almost im- 
mediately insensibility ; violent vomiting ; intense head- 
ache. Great sensitiveness to noise ; photophobia. Great 
congestion of head ; pulse exceedingly rapid ; drowsy and 
restless. Muttering delirium ; rash in patches ; skin livid 
between the little miliary points, skin cold and dry. The 
livid color of the skin when pressed out with the finger 
returns very slowly. 

Ammonium earbonicum. The eruption is scanty at the 
outset, with rapid pulse. Threatened paralysis of the 
brain, with excessive vomiting (Arsen.). Repelled erup- 
tions (Cupr. ac), after which dysenteric, slimy, fetid stools. 
Attack comes on and the patient is decidedly chilly in 
the evening, with aversion to being moved. The erup- 
tion comes out first on the upper part of the body, with 
smarting and burning of the skin, aggravated by scratch- 
ing. Hard swelling of the right parotid and submaxillary 
glands, red bloated face, ulcerated corners of mouth (Carb. 
veg., Bellad., Arum trif , Mercur., E'itr. ac). Putrid sore 
throat ; nausea and vomiting after taking food, accom- 
panied by sensitiveness and soreness at pit of stomach 



260 DISEASES OF THE SKm. 

(Apis, Calc. cark, Laches., IsTux vom., Sulphur). Consti- 
pation, with flow of blood from anus. Involuntary urina- 
tion at night (Calc. carb., Carb. veg., Caustic, E"atr. mur., 
Pulsat., Sepia). Exceedingly sensitive to talking and 
noise ; awakes about 2 or 3 a.m. with a dry cough, which 
is very troublesome. 

Apis meL High fever, with chilliness from least move- 
ment (Merc, cor., Rhus tox., Silic). Heat of feet and 
hands when the patient complains of chilliness. Head- 
ache, holds the head in hands. Burning and stinging of 
skin ; dryness of throat ; tongue dry, of deep red color, 
swollen and inflamed, often covered with blisters ; ina- 
bility to swallow ; dryness of mouth, without thirst 
(Calad. and Pulsat.) ; tonsils swollen and hard ; nausea and 
vomiting, with soreness of pit of stomach to touch. The 
nose is sometimes stufied up. Complains of being swollen 
(abdomen retracted, Cupr. Chamom., Pulsat.). Urine 
scanty and high colored, voided with diflaculty. Anasar- 
cous condition, with very scanty urine ; oppressed respira- 
tion; great trembling. The heat of skin and fever is 
changeable, comes in flashes. Delirium, the patient is 
inclined to scream out. Many typhoid forms. Post-scarla- 
tinal dropsy, aggravated by heat, relieved by cold. 

Arsenicum. Typhoid forms, especially at the commence- 
ment ; total loss of strength ; mild delirium ; convulsive 
twitching of tendons, with excessive vomiting ; violent 
diarrhoea brought on and aggravated by taking drink or 
food. Contradictory symptoms ; there seems to be a fair 
eruption with great loss of strength. Tendency towards 
gangrene (Carbo veg.). Lips dry, black, often bloody. 
Grinding of teeth while asleep ; tongue dry, brown and 
cracked. The patient is troubled with thick, slimy, fetid 
saliva in mouth ; longing for cold drinks and acids. 
Bitter taste in mouth, especially after eating or drinking. 
Vomiting of brown substances ; stools, brown or black, 
fetid, excoriating. Urine dark colored and bloody, voided 



REMEDIES FOR THE EXANTHEMATA. 261 

with difficulty. Great emaciation ; trembling all over ; 
dyspnoea. Constantly changing position. Aggravated 
after midnight ; pains often felt during sleep. Cold per- 
spiration, cold extremities ; puffiness of eyelids. Sinks 
down in bed (Mur. ac). Worse from cold, better from 
warmth. (The reverse of Apis.) 

Arum triphyllum. Intense fever; soreness of mouth 
and fauces, which spreads to posterior nares ; the nose is 
stuffed up, can't breathe through it. Ichorous discharge 
from nose, excoriating and furrowing the upper lip ; 
discharge from nose thick and yellow, filling the whole 
nasal cavity and throat. The whole mouth is covered 
with ulcers, with intense soreness and burning; feels as if 
excoriated ; saliva acrid. The mouth is so sore that the 
child refuses drink and cries when it is offered. Tongue 
red and sore, with elevated papillae. Throat sore, feels as 
if excoriated. Cannot swallow ; putrid sore throat ; swol- 
len submaxillary glands ; ulcerated corners of mouth. 
Eruption all over the body, with great itching. The 
child picks at the skin until it bleeds. Great restlessness. 
Urine abundant, but pale. 

Calcarea carbonica. Scrofulous subjects. Threatened 
paralysis of lungs. Scarlatina miliaria. Sore throat, 
difficult deglutition, loud rattlmg in wind pipe, hot 
breath ; difficulty of breathing, with precordial anxiety. 
'No cough ; rattling during expiration. Otorrhoea. The 
parotid glands are inclined to suppurate. 

Camphor. Collapsed conditions ; mind in a serene con- 
scious state ; a peculiar staring wild look (Bellad., Hydr. 
ac, Lauroc). Purple colored or pale, changeable, hot face, 
with hot perspiration and cold extremities. Hot, burning 
pains. Great sensitiveness of the stomach and abdomen. 
Involuntary blackish stools (Arsen., Yerat.). Dyspnoea, 
with sensation of constriction about the throat — with hot 
breath (Arsen., Sulphur). Accumulation of mucus in the 
air passages. Cold extremities, skin shrivelled (Carb. veg.). 



262 DISEASES OF THE SKIN. 

Capsicum. The patient is capricious ; exalted sensi- 
bility of all the senses. There is a peculiar redness and 
burning of the face, which is not proportionate with the 
heat of the rest of the body. The throat smarts and 
burns and is of a deep red color. Burning vesicles on 
tongue and in mouth. {Characteristic. The pain in the 
throat is always worse between the acts of deglutition.) Tena- 
cious mucus in the throat, which is difficult to dislodge. 
Dry tongue without thirst (Apis, Pulsat.). 

Cup>rum aceticum. Eruption disappears suddenly, with 
a tendency to metastasis to the brain. Quick, small, 
irregular pulse ; the temperature is reduced ; sopor ; con- 
vulsive movements of the body ; rolling of the eyes ; facial 
distortion ; spasmodic action of the chest. 

Gelseminum. Great prostration from poisoning of the 
system. Cerebral intoxication. Pulse quick and weak. 
Almost entire loss of muscular action. The feet and ex- 
tremities are cold. Heat, with languor and drowsiness ; 
when sleeping the patient talks in delirious mutterings 
or half aw^akes at times ; crimson flush of the face in all 
positions; sufi:usion of the eyes, heav^y looking; throat 
feels as if swelled or filled up (Pulsat.), is diffusely red ; 
tonsils red and slightly swelled ; when the eruption re- 
cedes all the viscera are threatened. Impaired vision ; 
spasms and paralysis. 

Hyosciamus. Great stupidity; complains of nothing 
except thirst ; difficult speech (Laches.). Does not reply 
to questions, or answers slowly and relapses into an un- 
conscious state. (Tendency to repeat the last w^ord, 
Laches.) At times great nervous excitability and sleep- 
lessness ; "illusions of the imagination or else utter stupi- 
dity ; sparkling, red, prominent eyes, or vacant staring at 
things ; indistinct muttering loquacity. Bluish face ; the 
mouth is open or the jaws are locked ; constriction of the 
throat, can't swallow fluids ; salt taste (Thuya) ; paralysis 
of the sphincters ; paralysis of the trachea ; rattling respi- 



REMEDIES FOR THE EXANTHEMATA. 263 

ration. The patient ceases coughing on sitting up in bed 
(Katr. sulph.). Repelled eruptions, with tendency to 
paralysis, accompanied by watery diarrhoea. Subsultus 
tendinum. Aggravation in the evening. 

Hydrocyanic acid. In the early stages of the disease 
the skin is dark and livid, the pulse feeble and scarcely 
perceptible. 

. Ipecacuanha, Suppressed eruptions. Gastric symptoms 
predominate, with nausea and vomiting, accompanied by 
dyspnoea ; sighing respiration ; worse in the evening. 
When he sleeps his eyes are half open, he moans and 
groans in sleep. 

Lachesis. Advanced stages; typhoid state. Smooth 
red or black and dry tongue, frequently cracked ; trem- 
bling of the tongue and inability to protrude it ; it strikes 
against the lower teeth ; patched or map tongue (Arsen., 
Nitr. ac, J^atr. mur., Tarax.). Loquacious delirium. 
Accumulation of dried mucus in nose (Kali bichr.). 
Throat very dry and sore ; aggravated by sleep. Can't 
bear the touch of the bed clothes about the throat, it 
causes a feeling of suffocation. Throat symptoms aggra- 
vated by turning the head. Paralysis of the organs of 
deglutition. Throat symptoms are made worse by swal- 
lowing. When swallowing the pain extends to left ear 
(Kali bichr.). Liquids return through the nose. Left 
side of throat most affected. Suppuration of glands of 
the neck. Black urine (Colchic). Offensive stools. All 
symptoms aggravated after sleep. Aphasia (Iodide of 
Merc). Delayed desquamation. 

Mercuriiis sotuhilis. After Bellad ; aggravation at night 
in bed, etc. 

Muriatic acid. Eruption scanty, with petechise, or 
the skin is intensely red. Great restlessness, with desire 
to throw off the clothing ; burning heat of body, dark 
redness of face, purplish color of skin. The whole vital 
forces are prostrated, the patient sinks down in bed, pulse 



264 DISEASES OF THE SKIN. 

intermitting in regular intervals, weak. Sighing, groan- 
ing respiration. Discharge of thin, acrid pus from the 
nose, excoriating the nose and lips; severe sore throat, 
fauces dark, bluish-red, with aphthous patches ; foul breath. 

Nitric acid. Diphtheretic conditions. Profuse discharge 
from the nose and throat of a thin purulent ichorous 
matter ; tonsils swollen ; difficult deglutition ; indistinct 
speech ; deafness ; intermittent breathing ; burning hot skin. 
After ]Sritr. ac, Phosphor, follows well. 

JPhosphorus. Typhoid forms — sopor, delirium ; glandu- 
lar enlargements; diarrhciea; burning sensations, which 
make him constantly change his position. Pulmonary 
complications. 

Hhus tox. Vesicular types. Symptoms occurring 
about the third day; tongue dry, red and smooth, with 
triangular red tip. The eruption looks dark; drowsy 
state, with delirium ; great restlessness ; swimming eyes ; 
rheumatic symptoms ; oedema of scrotum and penis ; bleed- 
ing from nose at night ; swelling and suppuration of paro- 
tid glands, first left then right, with copious ichorous dis- 
charge. 

Sulphur. Scrofulous subjects who have had suppressed 
eruptions (Hyosc, Stramon., Lauroc). Lethargic condi- 
tion ; burning heat of skin. Eruption red at first but soon 
grows purple; diarrhoea, worse in the morning. 

Zincum metallicum. Threatened paralysis of brain ; com- 
plete stupor. The patient lies perfectly motionless ; pulse 
small, thread-like, can scarcely be counted; extremities 
cool ; jerking of the whole body or twitching of single 
limbs. The color of the body is bluish-red (Hydroc. ac). 
The body is of a bluish color, while the forehead and face 
are pale ; forehead cold and covered with cold perspira- 
tion. White distorted face ; frightful shrill screams ; 
short, quick breathing, but not rattling; occiput very 
hot ; grating of teeth ; involuntary discharge from bladder 
and bowels. 



PART II. 



REPERTORY. 



INTRODUCTION 



I^otwitlistanding the fact that we liave been taken 
somewhat to task for not comprising under the therapeu- 
tical portion of the first part of this treatise the symp- 
tomatology of all the medicines enumerated in the Materia 
Medica, we thought it best to continue the plan of record- 
ing only the results of clinical experience as guides to the 
selection of remedies ; leaving the enumeration of the 
sjaiiptoms of the skin and their concomitants as produced 
by provers for the second part or repertory. 

This second part will be arranged after the excellent 
method employed by Bell, Dunham and others; i. e.^ the 
remedies will be enumerated in alphabetical order, with 
their arranged indications, and then will follow the re- 
pertory proper. 

S. L. 



REMEDIES. 



Aconitum napellus. 

Nosological. Adenitis. Boils. Burns. Erysipelas. 
Erythema. Eczema. Gangrene. Herpes squamosus et 
solare. Lichen. Measles. I^ettle-rash. Pemphigus. 
Purpura miliaris. Scarlatina. Small-pox. Ulcers. Yari- 
cellee aquosse et conoicles. 

Objective, Blackness and swelling of lips; of skin all 
over body. Boils, on tip of nose ; on back ; on nates. 
Blotches, red, on lingers of right hand. Desquamation. 
Bloated face. Discharges of bloody mucus, yellow. Erup- 
tive fevers. Eruptions ; vesicular on both temples ; fiery 
red like nettle-rash. Erysipelatous exanthemata. Ery- 
thema from sunshine, papulous. Hot skin. Inflammation 
of external ear ; of ulcers of sexual parts. Injuries bleed- 
ing profusely. Pimples, reddish, filled with acrid fluid, 
size of a pin's head, filled with serum, on forehead, nape 
of neck and face ; soon dry up and peel oft". Spots like 
fleabites on face and hands. Swellings, red, hot ; shining 
of parts aflected ; inflamed and yellow color of skin. 

(269) 



270 DISEASES OF THE SKIJSJ. 

Subjective. Burning heat in injured parts. Burning 
itching all over. Contracting sensation in glands. Gnaw- 
ing as if caused by electro-magnetism. Heat in glands. 
Hair feels as if pulled at. Itching, in pimples, of affected 
parts. Pinching, pressing, picking, as if caused by electro- 
magnetism. Stinging soreness in various parts. Tearing, 
drawing pains. Tingling of affected parts. Sensation as 
if the epidermis were separated from the cuticle by some 
intermediate substance, with creeping and shivering. 

Aggravations. At night in bed. Lying on left side. 
From getting wet, and on exposure to dry, sharp wind. 
In ijhildren. In lying-in-women. 

Amelioration. In the open air. 

Accompaniments. Catarrhal inHammation from eyes to 
bronchi. Cough, dry, croupy, hacking, with stitches in 
chest. Convulsions. Dyspnoea, distressed face, gasping. 
Fever, full quick pulse, and thirst. Epistaxis. Headache. 
Nervousness. Pain in stomach and bowels, with nausea 
and diarrhoea. Peevishness. Great restlessness ; restless 
sleep, with jerking and starting, grating of teeth and 
groaning ; or sleeplessness with agitation and anxiety. 
Swelling of whole body and protrusion of tongue and 
eyes. 

Aethusa cynapium. 

Objective. Boils on small of back. 

Agaricus muscarius. 

Nosological. Boils. Chilblains. Frostbites. Miliary 
eruptions. 

Objective. Boils on nates. Discharges watery. Erup- 
tions, red, yellowish, close-grained, dense, white miliary 
on hands. Falling off of eyelashes. Pimples on thigh ; 
inflamed, on back of hand. Eedness of toes as if frost- 
bitten. Tubercles on forearm. 

Subjective. Burning itching as if frozen in eruption on 
hands and toes. Burning in fingers, lower limbs and 



REMEDIES. 271 

toes ; gnawing-itching. Itching and titillation on arms 
forcing one to scratch. Smarting in pimples. Tearing 
pains in bones. 

Aggravations. After coition. After moving. From out- 
ward pressure. After scratching (smarting changed to 
burning). Right arm and left leg most affected. 

Amelioration. By walking slowly. 

Objective. Scurvy ; gums swollen and bleeding. Dark 
purple blotches on legs, which are swollen, painful, and of 
stony hardness. 

Accompaniments. Appetite poor. Constipation. Counte- 
nance pale and dejected. Pulse small and feeble. 

Agnus castus. 

Objective. Excoriations and rhagades at anus. Herpes 
on cheeks. Hardness and induration of glands. 

Subjective. Itching relieved by scratching, but return- 
ing again at once. Gnawing-itching. 

Aggravation. From getting wet. 

Ailanthus glandulosa. 

J^osological. Scarlet fever (typhoid and black). Syphi- 
lis. 

Objective. Eruption, on forehead and face, almost 
livid ; miliary ; irregular and patchy ; on body and 
extremities, disappearing on pressure and reappearing 
slowly ; violet hued ; scaly and evanescent, and long 
delayed ; consisting of large maculae and buUse, filled with 
dark serum. Skin hot, harsh and dry. Petechiae. Chancre 
on prepuce. Syphilitic rash. 

Accompaniments. Apathy. Anxiety and fear. Fright- 
ful delirium, with muttering. Dizziness, worse when 
rising up. Vomiting, followed by high fever, pulse small 
and rapid. General malaise. Pupils dilated, or photo- 
phobia. Severe headache. Sleeplessness and restlessness. 
Hot, red face. 



272 DISEASES OF THE SKIN. 

Alnus rubra. 

Nosological. Chronic herpes. Impetigo. Porrigo. 
Scrofula. Syphilis. 

Ampelopsis quinquefolia. 

Nosological. Scrofula. Old ulcers. 

Alumina. 

Nosological. Boils, Felons. Injuries. Lepra vera. 
Scrofula. Tetters. Tinea capitis. Herpes. 

Objective. Boils over the ear ; on and in the nose ; on 
left cheek ; on right side of lip ; on right hip ; on thighs. 
Humid crusts on scalp and arms. Inflammation of slight 
injuries of skin. Bulhous eruptions. Leprous pimples. 
Bleeding rhagades on hands. Humid scurfs and scalds 
on forearms. Serous bleeding after scratching. Moist 
tetters. Varices about anus. Blotches. Discharges copi- 
ous, corrosive, flesh-colored, of thick mucus, slimy, tena- 
cious, yellow. Eruption on temples Furfuraceous erup- 
tion on hands. Hedness of toes. Tubercles. 

Subjective. Burning in anus and toes. Gnawing in 
tetters. Gnawing itching. Itching, in evening in tetters 
on neck ; in eruption. Gnawing itching. Itching and 
pain in soles of feet and toes, as if frozen. Stinging in 
corns. Eruption sore, as if excoriated. 

Aggravations. In afternoon and evening. On alternate 
days and periodically. At new moon, during its increase 
and at its full. From eating potatoes. After using 
mercury. After lead poisoning. On getting warm in 
bed. 

Accompaniments. Hemorrhage from mouth and gums. 

Ambra grisea. 

Nosological. Corns. Herpes. Tetters. Scabies. 
Objective. Arthritic swelling of feet. Cancerous ulcers. 
Bones of forearm aflfected. Dryness of skin. Discharges 



I 



REMEDIES. 273 

gray and salty. Eruption painless, on cheeks. Herpes 
between thumb and index finger. Scabies and herpes 
suppressed. 

Subjective. Burning in herpes, tetters, and soles of feet. 
Itching on scalp, on occiput, and in soles of feet and toes. 
I^umbness of arms as if gone to sleep. Soreness in warts 
and corns. Tearing in glands. Tenderness and pain in 
bones. 

Aggravation, Early in morning on waking. In even- 
ing, while lying in bed. After lying down and having 
risen. In lean, aged persons. 

Amelioration. From lying on painful side. 

Ammonium carbonicum. 

Nosol gical. Boils. Corns. Eczema. Ephelides. Fu- 
runculi. Ganglion. Herpes. Miliary eruptions. Purple 
rash. Rachitis. Scarlet fever. Scrofula. Tetters. Ulcers. 
Warts. 

Objective. Boils around the ear; in the nose and on 
its tip ; on face and cheeks and at corners of mouth ; on 
chin ; neck ; in scapular region ; on right side of chest ; 
on shoulders and arms and right hip, with watery, bloody 
suppuration. Desquamation. Discharges copious, corrosive 
and watery. Eczema in bends of extremities. Excoria- 
tion between legs, and about anus and genitals. Eruption 
on face, flat, red, peeling off. Freckles. Ganglia on hands. 
Glands of neck, lower jaw and about ear affected. Red 
inflamed herpes on face. Pimples on nape of neck and 
forearms. Purple rash on chest. Blotches and vesicles 
after scratching. Rash on left side of neck and lower 
arm. Swelling of the cutaneous veins. Blue spot above 
knee. Redness of whole upper part of body, like scarlatina. 
Red and scarlet spots. Mealy tetters. Red ulcerating 
tubercles around elbow and neck. Ulcers, with fetid pus. 
Varices about anus. 

Subjective. Burning in pimples, pustules and blisters on 



274 DISEASES OF THE SKIN. 

face. Excessive burning in blue spots on thighs. Burn- 
ing and itching in herpes. Burning, shooting and pulling, 
in corns, as if ulcerated. Cutting in tubercles. Itching 
on scalp, and in feet and toes as if frozen. Sensitiveness 
to cold. 

Aggravation. In evening. At new moon. In cold air. 
During hot weather. After working in water. When 
touched. After scratching. After scarlet fever. In chil- 
dren. While chewing and eating. From hot poultices. 
On the right side. 

Amelioration. From lying on right side and on the 
painful side. From warmth. From external pressure. 

Accompartiments. Aversion to washing. Emaciation 
Profuse hemorrhages from bowels, gums and nose. Hectic 
fever (in scurvy). Hard swelling of right parotid, of cer- 
vical glands, and those of the axillae. Muscles soft and 
flabby. Teeth fall out. 

Ammonium muriaticum. 

Objective. Boils on forehead. Large blotches and 
indurations deep under skin ; inflamed, with brown red 
scurf and swelling of the parts. Blisters on right shoulder, 
forming; a scurf. Blisters and vesicles on hands. Dis- 
charges corrosive and watery. Eruption on corners of 
mouth, peeling off. Miliary eruptions. Pimples on backs 
of hands, desquamating the next day. Fine rash all over 
for two weeks. Eed spots on left chest. Flat ulcers 
on scrotum. Small inflamed vesicles at wrist. 

Subjective. Beating and throbbing in nails. Biting on 
skin. Burning itching in spots on chest. Burning in 
blisters. Gnawing pain in bones. Itching and titilla- 
tions. Itching on scalp. Itching in blotches and indura- 
tions deep under skin, burning after scratching. Pain as 
if ulcerated. Painful throbbing of finger-joints, as from 
a felon. Pinching, tearing pains. 

Aggravation. In evening and at night. During men- 



REMEDIES. 275 

struation. After rising from bed. By scratcliing (itch- 
ing changed to burning). On the right side. 

Accompaniments, Hemorrhage from anus. Swelling of 
axillary glands. 

Anacardium. 

Objective. Eruptions painless and herpetic. Eczema. 
Dryness of hands. Pimples, with red areola and pus at 
tips, on lower portion of upper arm. Pustules on index 
linger, with red areola and exudation of red and white 
lymph on pressure, forming a scurf with a plug of pus 
beneath. Flat painful sores after rubbing. Varicose 
veins. Warts even on palms of hands. 

Subjective. Burning itching in lower limbs and soles of 
feet. Drawing sore pains in ulcers. Pressure in bones. 
Stinging and voluptuous itching. Stin2i:ing itching on 
thighs. 

Aggravation. In evening in bed. Periodically. Lying 
on the side. On moving affected part. After rubbing 
and by scratching. 

Amelioraiion. While eating. In open air. After scratch- 
ino;. 

Accompaniments. Hemorrhages from nose and anus. 
Chilliness. 

Anatherum muricatum. 

Nosological. Adenitis. Abcesses. Boils and ulcers. 
Erysipelas. Herpes. Miliaria. Measles. Pruritus. Sycosis. 
Syphilis. Scurvy. Small-pox. Scarlet fever. 

Objective. Abscesses. Ulcers and fissures on hands. 
Abscesses, boils, ulcers, scabs, and pustular herpes on face. 
Skin cold and frigid, and pale or violet. 

Eruptions, whitish and reddish, like sycosis, in vulva ; 
pustular like confluent small-pox ; like measles and scarlet 
fever. Excoriation of nipples. Erysipelatous swelling 
of arms and legs. Boils, abscesses and ulcers on legs. 
Red pimples, like miliaria or urticaria. Bluish scorbutic 



276 DISEASES OF THE SKIN. 

spots on body. Painful swelling of various parts, extend- 
ing to suppuration ; especially of sub-maxillary and cervi- 
cal glands. Red and yellow spots on face. Scarlet redness 
of skin. Ulcers, yellowish, violet, swollen, everted, 
syphilitic, on lips, on penis and in groin, on hands and 
legs and soles of feet. Ulcerated, indurated tumor in 
breast. Herpes and ulcers on scalp, with compact thick 
humid scabs and jDrurigo. Growths like warts and rupia 
on eyebrows. 

Subjective. Formication and itching as of ants, with 
loss of sensibilit3\ Lancinating, burning, deep seated 
pains (in tumors). Stinging and burning heat. 

Aggravation. From coifee, which subsequently relieves. 

AccomjMTiiments. Drowsiness, difficulty of speaking 
(in adenitis). Swelling of ganglia of axillae and chest 
(with breast tumor). 

Angustura. 

Objective. Ulcers, flat (appear after rubbing), eating 
into bones. Bones of arms affected. 

jSubjiCtive. Pains in bones of head. Squeezing pains. 
Tenderness and pains in ulcers. 

Aggravation. After rubbing. In bed. 

Anthracinum. 

Objective. Carbuncle. Sloughing. Abundant, ichorous, 
offensive pus. Gangrene. Whitlow. 

Subjective. Violent burning pain not relieved by 
Arsenicum alb. 

Accompaniments. Cerebral symptoms. Pyaemia. ("When 
Arsenicum alb. seems indicated and fails to relieve, An- 
thracinum should be exhibited). 

Anthrakokali. 

Objective. Chronic erysipelas. Herpes. E"ettle-rash. 
Purulent pimples like papulse. 



I 



REMEDIES. Til 

Subjective. Itching. 
Aggravation. During the night. 

Antimonium crudum. 

Nosological. Boils. Corns. Chilblains. Conoid chicken- 
pox. Erysipelas. Ecthyma. Eczema. Freckles. Fungus 
articularis. Impetigo. Miliaria. E"ettle-rash. Ulcers. 
Yaricellse agnosse et conoides. 

Objective. Boil on perineum. Large red bullse on left 
buttock. Blotch on right knee like a mosquito bite. 
Blotches and bullae as from stings of insects, especially 
on face and joints of extremities. White blotches with red 
areolae on face and limbs. Chilblains with redness. Horny 
callosities on feet. Corns. Discharges tenacious and 
yellow. Eruptions flat, horny, like nettle-rash ; purulent, 
on cheeks and around nose ; miliary. Pustules, with 
3^ellow-brown scurf; hard below neck, like blisters filled 
with pus ; on face. Pimples ; small, red, on right shoulder ; 
red on knee ; like vesicles resembling chicken-pox ; in 
band of elbow ; rash-like on middle of upper arms ; itch- 
like at carpal joint of left thumb, with brown scurf; on 
ball of hand and flexor brevis pollicis ; large at stytoid 
process of left radius ; on neck, under chin, and on face ; 
red, vesicular, like varicellae. Herpetic spots. Brown 
liver colored spots on both shoulders. Light brown dots 
on arms like herpetic spots. Bluish spots on thighs and 
tibiae. Skin hard, horny, callous, thick. Hard pea- 
shaped swelling on left side of nape of neck under skin. 
Red stigmata with little white tips in the centre, on 
anterior side of neck. Chest dotted with fine red points. 
Eash behind ears, between scapulae, and on nape of 
neck. Inflammatory swellings. White tubercles on legs, 
surrounded by a small red circle. Ulcers, deep, flat, 
fistulous. Varices about anus. Red vesicles with yellow 
tips on shoulder, soon look like cutis anserina and peel oflT. 



278 DISEASES OF THE SKIN. 

Vesicles at styloid process of right ulna and on left 
hand. E"ails discolored and deformed. 

Subjective. Burning pain spreading far around from a 
boil. Violent burning and fine stinging in nettle-rash. 
Gnawing itching in pimples. Itching ; violent in fine 
points on chest ; in tubercles on leg ; with tensive pains 
in bullae; on neck, back and limbs. Pain in bones of 
head. Stinging in pimples when touched. Soreness in 
corns. Titillating, itching. Stitches from within out- 
ward, especially in upper arm and below right buttock. 

Aggravation. In afternoon, evening and at night. In 
summer (chilblains). In the sun. When touched. From 
sour food, vinegar, etc. From wet poultices. From 
bathing and working in water. In drunkards. 

Accompaniments. Aversion to washing. Dropsy. 
Gastric derangement. Violent thirst and nausea. Pain 
in ears. White-coated tongue. 

Apis mellifica. 

Nosological. Boils. Carbuncles. Erysipelas. Gangrene. 
Hives. Sudamina. Variola. Whitlow., 

Objective. Boils on pubes, large. Erysipelas, with redness 
and swelling, and gangrene. Eruption recedes (m variola) ; 
is confluent, with cedematous swelling of skin during des- 
quamation. Ped and inflamed raised patches of hives. 
Whitlow, after abuse of sulphur. 

Subjective. Burning heat all over, or heat in some 
parts and coldness in others. Stinging burning pains. 

Aggravation. From heat. In cold weather. After 
scarlet fever, hives, and variola. 

Amelioration. From cold water. 

Accompaniments. Asthma after hives. Fatal adypsia or 
great thirst; croupy cough; violent cough like whooping 
cough. Thick, white, bloody, fetid coryza. Convulsions. 
Intestinal catarrh, with slimy diarrhoea ; muttering deli- 
rium. Dyspnoea. Inflamed eyes. Loss of consciousness. 



REMEDIES. 279 

Trembling of limbs. Prostration. Restlessness. Sleepless- 
ness. Stinging pain in throat. Sopor. Abdomen sore to 
touch. Tongue deep red, covered with blisters, which 
become sores and ulcers, with stinging pains. Tonsillitis. 
Urine scanty and dirty red. Micturition painful. Uterine 
catarrh. 

# Apocynum androssemilfolium. 

Objective. Syphilis ; chancres. Coldness of skin. 

Subjective. Violent itching of face and body. Swollen 
sensation in skin. 

Accompaniments. Profuse night sweats. Dropsy after 
scarlatina. 

Argentum foliatum. 

Objective. Discharges copious. Boil near last rib. In- 
flammation of arms. Eruptions. 

Subjective. Burning pains as if excoriated. Burning 
itching of face and hands. Intolerable itching as from 
crawling on head and body. Stitches as from electric 
shocks. Stinging as from flea-bites. Soreness as if 
excoriated (in eruptions). Tenderness, tearing pressure 
and pains in bones. Paroxysms of burning in corns. 

Aggravation. In afternoon. After masturbation and 
use of mercury. 

Argentum nitricum. 

Nosological. Traumatic erysipelas. Eczema. Ecthyma. 
Scabies. Syphilis. Sycosis. 

Objective. Red blotches on back of hand and index 
finger, changing to yellow blisters on a red base. Pimple- 
like blotches on lower limbs at night. Pustulous ecthyma 
coming on after itching and pain. Eczema on genitals. 
Pimples on back and chest. Small itch-like pimples, bleed- 
ing when scratched, and becoming covered with bleeding 
scurfs. Skin blue, gray, violet or bronze, to black 
(Argyria). 



280 DISEASES OF THE SKFN. 

Subjective. Itching (in pimples). Itching-biting all 
over, especially thighs and axillae. Pricking itching. 

Aggravation, At night. On getting warm in bed. After 
scratching. 

Accompaniment. Dropsy. 

Arnica. 

Nosological. Bed sores. Boils. Chilblains. Erythema 
nodosum. Ecchymosis. Erysipelas. Miliary eruptions. 
Purpura. Varices. Wheals. 

Objective. Boils, many, small, on face. Bites of insects. 
Eruptions, red, sanguineous, in spots. Erysipelas with 
swelling. Injuries bleeding profusely. Pimple with in- 
flamed border, on side of neck. Itching pimple between 
thumb and index finger. Pimples on prepuce. Red spot 
on glans penis. Yellow, blue, and reddish-blue spots. 
Swelling of glands of neck, of face and cheeks, of cutane- 
ous veins. Black swellings. Skin blue and dry. 

Subjective. Burning pains. Digging up sensation and 
heat in glands. Cold feeling in skin, now here and now 
there. Cutting pains in skin. Drawing pains. Itching in 
pimples and spots on glans. Fine prickings, especially in 
nose, eyebrows, eyelids, hands and fingers. Pains as if 
beaten. Stinging as if a splinter were in the flesh. Dull stit- 
ches deeply penetrating in limbs. Soreness and sensitive- 
ness of corns. Tearing pains in glands. Tingling in ulcers. 

Aggravation. In the evening and at night. On being 
touched. Erom exertion. From sweating. In the open 
air. In lying-in-women. From peruvian bark. 

Amelioration. From l^nng with the head low. 

Accompaniment. Epistaxis. 

Arsenicum album. 

Nosological. Burns. Acne rosacea. Abscesses. Crusta 
lactea. Cancer. Chilblains. Chlorosis. Crusta serpiginosa. 
Erysipelas. Eczema. Ecthyma. Fungus hsematodes et 



I 



REMEDIES. 281 

articularis. Gangrene. Herpes labialis, facialis, phlycte- 
noides et furfuraceous. Impetigo labialis et rodens. In- 
flammatory swellings. Jaundice. Lichen. Lepra alba 
et vera. Purpura senilis. Pemphigus. Prurigo senilis. 
Pruritus. Psoriasis. Rupia. Sycosis labialis. Scabies. 
Sudamina. Ulcers. Urticaria. Varioloid. Varicella. 
Varices. 

Objective. Abscesses suppurating. Blotches on hands. 
Lentil-sized colorless blotches. Black blistei's on feet. 
Blisters under feet at night, discharging a light-yellow 
fetid water. Dark-brown color of body. Blisters spread- 
ing. Cancer of nose, lips, and mouth. Discharges brown- 
ish, blood-streaked, copious, corrosive, salty, tenacious, 
yellowish, watery, fetid, purulent. Eruptions ; fine like 
sand, in bends of knees ; flat ; red, granular, copper col- 
ored ; whitish ; with sanguineous edges ; in pimples, blis- 
ters, and vesicles ; suppurating on scalp ; about lips and 
mouth ; too early or suddenly appearing ; on hands, be- 
coming pale or livid, or is mixed with petechia, scaling 
off; red and scorbutic, colorless on neck, shoulders, and 
sides. Eczema on face, genitals, and legs, and back of left 
hand. Erysipelas, gangrenous, inflamed, and vesicular. 
Face bloated. Gangrenous spots, and gangrene of the 
sexual parts. Induration and thickening of soles of feet. 
Inflammation of sexual parts. Inguinal and submaxil- 
lary glands affected. Pimples ; small, on forehead and 
under jaw ; acuminated ; whitish ; filled with watery fluid ; 
on abdomen and hands and between fingers, like millet- 
seed, with white tips oh hands, feet, and scalp. Pustules ; 
red (changing to ichorous, crusty, burning, spreading, 
ulcers), on scalp and in whiskers ; sink in and areola be- 
comes livid, in small-pox. Petechia-like spots, moist 
after scratching. Black pox on arms. Skin cold and 
blue, dry and parchment-like, peels off* in large scales like 
fish-scales, of pale earthy color. Spots and ulcers as if 
burnt. Brown spots on head, and streaks or ridges on 

19 



282 DISEASES OF THE SKIN. 

thighs. Scurfs and crusts on scalp and face. Red spots 
on feet ; yellow spots on chest ; blue spots on whites of 
eyes, abdomen, and genitals. Inflammatory swelling of 
face, feet, and body ; of right side of body and hip, and 
of left lower limb. Dark-red hot swellings. Elastic 
swellings. White spots. Scabies, inveterate, pustular in 
bend of knees. Suppressed swelling of the arms. Ten- 
derness and pain in bones. Painful tubercle on right arm. 
Lips black and blue. Ulcers, with red shining areola and 
a blue-black or greasy ash-colored base ; with thin bloody 
pus ; with high edges ; with fetid ichor and proud-flesh 
turning blue and green; with thin scurf; with inflamed 
edges; wart-shaped; on lower extremities, feet, and heels; 
on feet, bleeding ; on scalp ; on hands ; turning black on 
bottom ; bleeding on edges ; flat ; hard ; with hard spongy 
edges, exuding bloody pus. Varices about anus. 

Subjective. Aching, pressing in glands. Boring pain 
in blisters and in inflammatory swellings. Burning in 
herpes, spots on feet and pimples in margins of ulcers, 
and of skin on arms and lower limbs. Burning sensation 
from contact of the discharges. Itching in pimples, edges 
of ulcers, on scalp and occiput. Itching creeping on 
thighs, limbs, and buttocks. Pricking in edges of ulcers 
and in tetters. Smarting of colorless eruption (on neck, 
shoulders, and sides). Painfulness of skin, stinging in 
eruptions, and in varices about anus. Violent tearing 
pains in edges of ulcers when exposed to cold. Soreness 
as if excoriated in anal region. Edges of ulcers are sen- 
sitive. 

Aggravation, After midnight (1 to 3 a.m.). In the 
evening. Periodically before falling asleep. On waking. 
While lying down on the painful side. After drinking. 
After lying down and having risen. After moving. 
From exertion. During catarrh and putrid fever. In 
children. In glandular aftections. In cold air (ulcers). 
During contact. From poison of glanders. From cold 



REMEDIES. 283 

food, and from wine. From running. During the first 
hours of sleep. After the use of quinine and iodine. 
Complaints from scalds. 

Amelioration. On getting warm in bed. From warm 
applications. From lying with the head high. 

Accompaniments. Anguish (from burning itching) which 
drives him about. Aphthae in mouth and fauces. Chills 
and fever. Crying for cold water. Cold hands. Cold 
sweat. Colic. Distended abdomen and offensive diar- 
rhoea. Excessive debility. Great despondency. Dysp- 
noea. Desire for liquor. Eyelids weak and swollen. 
Epistaxis. Gums bleed readily, and there is a fetid odor 
from the mouth. Internal heat and external coldness. 
Immobility and stiffness of knees and feet. Palpitation 
of heart. Great restlessness. Malignant sore throat. 
Violent thirst, patient drinks little at a time, very fre- 
quently. Small quick pulse. 

Arsenicum hydrarg. 

Objective. Dark-brown color of body. Whitening of 
hair on deadened parts. Vesicles on glands and prepuce, 
leaving round flat ulcers after breaking. 

Arsenicum iodidum. 

Objective. Chronic, obstinate, scaly eruptions on scalp. 
Dry scaly eruption. Erythema. Cancerous diseases. Im- 
petigo. Lepra. Psoriasis versicolor. Pityriasis. Tinea 
furfuraceous. 

Subjective. Burning heat in lumbar region, as if clothes 
were on fire. Burning-itching, and formication in erup- 
tions. Chilliness of left thigh followed by formication 
and weight in left foot. Clothes feel cold when extend- 
ing the left limb ; formication and weight extending to 
right foot, relieved somewhat by walking. Formication 
on both ankles and on exterior border of left foot, followed 



284 DISEASES OF THE SKIN. 

by burning in tbe instep. Itching, especially on the back. 
Itching of back of left hand, followed by stinging itching 
of back of right hand. 

Arum triphyllum. 

Objective. Eruption like scarlatina, followed by desqua- 
mation. Dry feverish heat of skin. Face swollen and 
red. Lips and corners of mouth swollen, sore, cracked, 
and bleeding. 

Subjective. Itching, with desquamation, following a 
scarlet rash. 

Accompaniments. Child picks at lips, cheeks, and chin 
until raw (in scarlatina). Submaxillary glands swollen. 
l^ose stopped, with or without profuse yellow discharge. 
Putrid sore throat. Red tongue with elevated papillse. 
Urine pale and profuse. 

Asafcetida. 

Objective. Adenitis. Dark-red, hot swellings. Cold 
swellings. Adhesion of the skin in caries. Suppurating 
abscesses. Arthritic swelling. Curvature, interstitial 
distension, and softening, and caries of bones. Copious 
discharges. Eruption flat. Scrofulosis. Cold gangrene 
and suppuration of injuries. Ulcers, with thin, fetid, 
ichorous, bloody, serous pus ; with bluish, raised, hard 
edges. Ulcers ; aflfecting bones ; deep ; flat ; fistulous. 
Bright red, raw appearance of wounds, covered with a 
crust of tenacious lymph. 

Subjective. Darting jerking in glands and ulcers. 
Pricking, darting pain in the edges of ulcers. Quivering 
in skin. Tenderness, jerking pain, scraping, and darting 
in bones. 

Aggravation. After mercury. During contact. 

Amelioration. From touching and scratching. 



» 



REMEDIES. 285 

Asarum Europaeum. 

Objective, Discharges of bloody and slimy raucus (from 
ulcers). 

Aggravation. In cold air. During dry weather. In 
the evening. 

Amelioration. From washing or wetting affected parts. 
In damp weather. 

♦ • • 

Asclepias syriaca. 

Accompaniments. Dropsy following scarlatina (in con- 
sequence of nephritis). 

Asclepias tuberosa* 

Objective. Hot, moist skin. Scrofulosis. Syphilis. 
Vesicles. Pimples and pustules all over body, especially 
on arms, legs, and face. 

Subjective. Itching of thighs and nates, but no eruption. 

Accompaniments. Dry, hard cough, worse at night and 
in the morning ; sputa frothy or yellow. Soreness in 
lower part of chest ; respiratory murmur and dulness in 
right lung. Chills towards noon. Fever in afternoon. 
Mght-sweats and emaciation (in scrofulosis). 

Aurum foliatum. 

Nosological. Arthritic nodes. Adenitis syphilitica. 
Herpes prseputialis et vulvaris. Ehagades. Scrofulosis. 
Syphilis. Ulcers. Tetters. 

Objective. Large and small blotches of a dingy yellow 
color, on legs and calves. Blotches on leg below knee, 
changing to thick hard nodosities when rubbed. Dry 
crusts. Scaly eruption on face. Inguinal glands affected. 
Inflammation of nose. iTails blue. Pustules on face, 
neck, and chest. Bony swellings on scalp, arms, and legs. 
Swellings of face and cheeks. Dry scurfs. Swelling and 



286 DISEASES OF THE SKIN. 

caries of hones of ear, nose, face, and mouth. Ulcers ; 
cancerous and syphilitic ; fistulous ; deep ; hluish. 

Subjective. Aching pressing in glands. Burning in 
blotches and blisters. Cramplike feeling in bones. For- 
mication all over body. Itching, burning, shooting like 
rays. Laming mercurial pains in bones. Pains in bones, 
especially of head. Soreness as if excoriated in eruption. 
Tenderness, pain, pressure, and tearing in bones. 

Aggravation. Iri the morning. In winter. From cold. 
In the open air. While lying down ; after lying down 
and having risen. When blowing the nose. From mer- 
cury. 

Amelioration. From moving, getting warm, when walk- 
ing, and by warmth. 

Aurum muriaticum. 

Objective. Boils on nates and thighs. Condylomata on 
prepuce and at anus. Dry crusts. Herpetic exanthema 
speedily forming a scurf. Inflammation of nose. Purple 
redness of skin. Dry scurfs. Swelling on wrist-joints 
(ganglion). Flat ulcers on scrotum. 

Subjective. Intolerable itching in herpes. Stitches in 
ganglion on wrist when grasping anything. Tension in 
ganglion on wrist when bending hand backward. 

Badiaga. 

Objective. Adenitis. Bruised spots from falls or blows. 
Buboes. Chilblains. Scrofulosis. Syphilis. Tetters on 
forehead. 

Subjective. Itching on scalp. Skin sore to touch. 

Balsamum Peru. 

Objective. Cracks in nipples, fingers, and hands. Indo- 
lent ulcers. 



REMEDIES, . 287 

Baptisia. 

Objective. Small-pox ; confluent tardy eruption. 

Baryta carbonica. 

Objective. Adenitis. Cystic tumors. Panaritia. Moist 
crusts on scalp. Excoriation and oozing. Dry exanthe- 
mata. Falling ofl:' of hair on vertex. Skin of hands dry 
and rough. Swelling and induration of glands. Warts. 

Subjective. Burning itching. Burning stitches in corns. 
Itching here and there, with pain after scratching. Prick- 
ing over whole body. Tingling and burning pricking not 
relieved by scratching. Pricking as from burning needles. 
Tension in skin. 

Aggravation. While sitting. While lying on the pain- 
ful side and on the left side. On thinking of his disease. 
In aged, dwarfish people and scrofulous children. From 
outward pressure. 

Accompaniments. Dropsy after scarlet fever. Emacia- 
tion. Putrid breath. Swelling of the parotids, tonsils, 
and submaxillary glands ; with much saliva or dryness in 
the throat ; with pressing, stinging pain on swallowing. 
Pale swelling of throat. 

Baryta muriatica. 

Objective. Adenitis ; neck and abdomen particularly 
aflected. Yellowish scaly eruptions. Itch-like pimples^ 
on head, nape of neck, abdomen, and thighs. Tetters. 
Fetid, ichorous ulcers in inguinal region. 

Subjective. Biting in skin. Burning biting in excori- 
ated parts. 

Aggravation. After scarlet fever. 

Accompaniments. General dropsy after scarlet fever. 



288 DISEASES OF THE SKIN. 

Belladonna. 

Nosological, Adenitis. Acne disseminata et punctata. 
Anthrax. Boils. Bites of insects. Chilblains. Cancer- 
ous aiFections. Erysipelas. Papulous erythema. Eczema. 
Gangrene. Herpes labialis, facialis, et phlyctsenoides. 
Glandular inflammations and indurations. Impetigo. 
Measles. E'ettlerash. I^sevi materni. Phlebitis. Pem- 
phigus. Scrofulosis. Sycosis labialis. Scarlet fever. 
Ulcers. Varioloides. Varicellee agnosse et conoides. 
Warts. 

Objective. Bleeding and soreness ,of bends of joints. 
Boils on shoulder. Cold blotches and swellings. Blis- 
ters on sternum containing water; on fingers with inflam- 
mation ; from burns, with white margins ; with black scurf 
and oedema of the parts. Cold and hot gangrene. Dry- 
ness and desquamation of the skin. Eruption like measles. 
Eed scaly eruption on lower part of body as far as the 
abdomen. Eczema on face. Exanthema, flat, smooth, 
and red. Heat of skill with moisture. Hot swellings. 
Inflammation of skin and of glands. Indurations follow- 
ing inflammation. Large red pimples on back and scap- 
ulae, and redness of all the skin. Dark-red pimple on left 
arm. Scattered pimples on left breast. Pustule close to 
nail of right index-flnger, discharging matter. Pustules 
on arm and nape of neck covered with a crust. Red radii 
extending from a centre (in naevi materni). Redness and 
swelling of whole skin. Red, hot, shining swellings. Small 
dark-red spots of diflferent sizes on chest and thighs. Red 
spots on backs of both hands. Red spots like fleabites, 
or bloody spots like petechise, on chest, abdomen, face, 
and neck. Scarlet-red spots and scarlet redness on face, 
neck, hands, chest, and abdomen, with hot swelling of the 
parts. Soft, painless tumor on glans penis. Scrofulous 
and mercurial ulcers. Ulcers with a black bloody crust, 
v^ith bloody ichor, hard, and swollen. Watery vesicles 



REMEDIES, 289 

on palms of Lands and on tibia, so painful that he would 
like to scream. , 

Subjective. Burning in skin, in ulcers, when touched, 
and at night. Boring in glands. Creeping, crawling 
itching. Cutting, dragging pain in ulcers. Painfulness 
and pricking in glands. Pricking, darting, biting in skin. 
Soreness about ulcers and in heads of joints. Painfulness 
of skin to touch. Fine stinging in tips of pimples. Ting- 
ling itching. Biting itching. 

Aggravation. In the afternoon, evening, and after mid- 
night. During profuse menstruation, pregnancy, and con- 
finement. From sun-burning and in the sunshine. From 
drinking, perspiring, and suppressed perspiration. After 
touching and rubbing the parts. From a draught of air, 
and after having hair cut, and taking cold, on moving 
and walking in wind. During sleep. After scarlet fever. 
In children. 

Amelioration. While lying with head high. While 
standing. While lying down. 

Accompaniments. Asthma. Violent, hollow, barking, 
croupy cough ; in paroxysms causing redness of face, 
moaning, and drowsiness. Convulsions, Delirium on 
closing eyes, with increased memory power. Drowsiness, 
with inability to sleep. Diphtheritic sore throat. Epis- 
taxis. Head bent backward. Jerking and starting of 
limbs. Lips dry and parched. Lameness of the affected 
parts. Metastasis to brain in small-pox. Involuntary 
moving of hands to head. Mortification. Quick, small, 
soft pulse. Dilated pupils and eyes injected. Scalp 
tender to touch. Difficulty in swallowing. Starts in 
sleep. Constant drowsy sleep. Thick white-coated 
tongue. IlTausea and vomiting. 

Bellis perennis. 

Objective. Boils on neck and all over. Bruises, with 
extravasated blood. Whitlows. 



290 DISEASES OF THE SKIN. 

Berberis vulgaris. 

Objective. Blotches like nettlerash on upper arm. Scal- 
ing off. Formation of a crust about the anus. Small, 
flat, semi4ransparent pimples or rudimentary warts on 
fingers. Bright-red inflamed pimples on cheeks and lips, 
ulcerated in centre ; single pimples on scalp and face, most 
numerous on occiput, forehead, and temples ; clusters of 
red pimples with red areola and small tips, containing 
pus, changing to brown spots. Petechise, small, dingy, 
and red, with spots on forearm and backs of hands. 
Dingy red, bluish spot on inner side of lower lip. Dark- 
red spot on cheek, preceded by a chilly feeling there, grad- 
ually spreading over whole face. Pea-shaped vesicles on 
lower lip. 

Subjective. Biting gnawing on scalp and face. Burn- 
ing pricking along the edge of hair on head. Burning 
itching, with stitches and a sensation of warmth, passing 
off after scratching, and reappearing in another place ; on 
face, ears, and lips. Chilly feeling on cheek. Itching, 
burning itching. Stinging. Gnawing. Soreness, with 
burning, and pain to touch of skin about arms when sit- 
ting. 

Aggravation, After rubbing. 

Borax. 

Objective. Eczema on scalp and face. Erysipelatous in- 
flammation. Intertrigo of infants between thighs. Skin 
difficult to heal ; every injury tends to suppuration. Pus- 
tules with red areola on middle finger of right hand, with 
swelling and stiffness of finger, suppurating for a long 
time. Dark-blue spot at orifice of urethra, as if excori- 
ated. Ulcers in the axillse. 

Aggravation. After menstruation. 

Accompaniments. Chills, with thirst. Acrid diarrhoea. 
Dreams of falling; dread of downward motion. Child 



REMEDIES. 291 

cries and starts screaming from sleep while being laid 
down in the cradle. Epistaxis. Uneasy sleep. Throb- 
bing headache in temples. Vomiting of food and of bile. 

(Lycoperdon) Bovista. 

Objective. Moist, scurfy herpes, like red pimples. Hard, 
red, lentil-sized pimples on chest. Red pimples on foot. 
"Whitish pimples with red areola on chest. Red, hard, 
suppurating tubercle on penis. 

Subjective. Itching and burning. 

Aggravation. In the evening. 

Bromine. 

Objective. Boils on arm and in face. Cystic Tumors. 
Eczema capitis, with profuse oozing of a dirty, nasty- 
smelling discharge ; scalp covered as with a cap. Goitre. 
Scrofulosis, particularly swelling. 

Subjective. Scalp tender. 

Aggravation. In the evening, before midnight. In the 
warm room. At rest. 

Accompaniments. Discharge from ears. Flatulence. 
Glands of neck swollen. Mouth dry and parched. E'er- 
vousness, with forcing pain in temples and nape of neck, 
preventing stooping. High-colored urine. 

Bryonia. 

Nosological. Acne punctata. Arthritic nodes. Chil- 
blains. Erysipelas of joints. Eczema. Herpes furfura- 
ceus. Lichen. White and red miliaria, i^ettlerash. 
Prurigo mitis. Purpura h8emorrhagica. Petechise. Sca- 
bies. 

Objective. Eczema in bends of extremities, eruption 
slowly coming forth ; eruption all over, especially on back. 
Dry, burning heat of skin. Ichor from ulcer, staining 
linen black. Pimple between thumb and index-finger. 



292 DISEASES OF THE SKIN. 

Small, red, elevated pimples brought oat by scratching. 
Pimples on abdomen and hips. Pustules below knees and 
on the labia majora, with swelling of the parts. Rash, 
of lying-in women, and in infants ; on glans penis ; on 
arms, chest, and above knees, red in the evening and re- 
cedes after getting warm in bed. Red rash on forearm 
and at nape of neck. Hard, inflamed, pale, shining swell- 
ings. Scabies ; itch-like eruption on inner side of wrist- 
joint, in bend of elbow, on olecranon, on knee, and in 
bend of knee. Sometimes dry and red. Red spots on 
side of neck. Small, round, red spots on arms and feet. 
Hard tubercles here and there. Vesicles which burst and 
scale off. Yellow color of skin. 

Subjective. Aching, soreness, and burning stinging (in 
corns), relieved by pressure. A sore, painless spot burns 
violently. Burning and burning-itching. Coldness and 
pain in ulcers. Griping and itching about legs, knees, 
and thighs. Gnawing-itching pain. Itching and smart- 
ing, violent itching. Pricking, darting pains (in corns). 
Prickings all over. Painfulness of skin, as if flesh were 
loose. Stinging pains when touched, and during motion. 
Soreness after scratching. Smarting (in ulcers). Stitches 
in affected parts. Tearing drawing pains. Throbbing 
like stitches in scurf. 

Aggravation, In the evening. In dry and warm wea- 
ther. During the first hours of sleep. During motion 
(exertion of body, getting heated, walking or running), 
or while mounting an eminence. After scratching, and 
by touch. On bending downward. During sweat, and 
from suppressed catarrh and sweat. After taking cold. 
After suppression of an eruption. From eating cabbage, 
sour krout, and warm food. From thinking of his symp- 
toms. 

Amelioration. From eating cold things. After getting 
warm in bed. "While lying down in bed on back. While 
reposing and sitting. 



REMEDIES. 293 

Accompaniments. Dry painful cough. Constipation ; 
dry, hard stool, as if burnt. Dry feeling in mouth with- 
out thirst, or great thirst ; bitter taste in mouth ; dysp- 
noea. Inflammatory affections of chest. Dropsical symp- 
toms. Fever and rheumatic pains, worse upon motion. 
Meningitis. [N'ausea on sitting up. White or yellowish 
coated tongue. 

Bufo. 

Objective, Carbuncles. Erysipelas. Panaritium. Ulcers. 
Subjective. Burning pain in ulcers. 

Caladium. 

Objective. Eczema on the genitals. Hard, light-red 
pimples on the inner side of the forearm and chest. White, 
suppurating pimples surrounded by a red areola. Rash. 

Subjective. Corrosive burning. Itching and burning. 
Soreness (of pimples) to touch. 

Aggravation. At night and in the evening. 

Amelioration. From perspiration. After sleep. 

Accompaniynents. Violent oppression of the chest fol- 
lowing the disappearance of the pimples. 

Calcarea aceticum. 

Objective. Erysipelas, with swelling of the cheek. Pim- 
ple on the cheek, moist when scratched, leaving a yellow 
crust. Inflamed swelling below the knees. Yellow color 
of the skin. 

Calcarea carbonica. 

Nosological. Adenitis. Boils. Corns. Dandruff". En- 
cysted tumors. Ecthyma. Eczema. Erysipelas. Freck- 
les. Herpes. Leprosy. Measles, i^ettlerash. Kaevi 
materni. Psoriasis. Prurigo. Pemphigus. Panaris. 
Rhagades. Steatoma. Scald head. Scarlatina. Warts. 
Ulcers. 



294 DISEASES OF THE SKIN. 

Objective. Boils on the forehead where the hair begins ; 
on the back joint of the ring finger ; on the back of the 
left hand. Blisters on the left heel changing to boils. 
Eed band on tibia composed of rashlike risings. Dandruff 
accumulating evenly over the scalp, which is smooth and 
seems to be thickened. Erysipelas in the face. Encysted 
tumors, which are renewed and suppurate every month. 
Eczema, thick, moist (or dry) crust on the face, legs, and 
bends of the extremities ; thin, moist porrigo on scalp. 
Eruptions, vesicular all over, inflamed, grape-shaped around 
the anus, tardy, rashlike, chronic, white, elevated, hard 
nettlerash. JS^aevimaterni of arterial capillaries. Pimples 
under whiskers, on small of back and nates, on chest, fore- 
head, and about mouth and lips, whose angles are ulcer- 
ated. Pustules on the back. Rhagades of people who 
work in water. Scald head, thick scabs with yellow pus 
beneath, or in the form of a ringworm. Skin dry, un- 
healthy, and easily suppurates. Lenticular, red, raised 
spots. Large, dark spots, without swelling, on the legs. 
Tubercle at the border of the labia. Ulcers on the legs, 
on the cheek, fistulous, carious, with redness, swelling, and 
hardness of the surrounding parts. 

Subjective. Stinging-burning. Itching, with heat. Lan- 
cinating. Pricking. Stinging-smarting. 

Aggravation. In the morning and evening. In wet 
weather. In cold air. On waking. After washing. 
When rubbed (?). In plump, fat children. During den- 
tition. Before the menses. From suppressed perspira- 
tion. In stonecutters. In people who work in the water. 
From drinking milk. From wet poultices. 

Amelioration. In rising dry weather. Idi the fresh air. 
From rubbing, scratching, and being touched. After lying 
down. 

Accompaniments. Aphthae on tonsils and roof of mouth. 
Anorexia and much thirst. Longing for boiled eggs. 
Sore throat. ITose sore and obstructed. Glands of the 



REMEDIES. 295 

neck swollen. Infant very uneasy. Stools have a chalky 
appearance. Scrofulous diathesis, child pale and languid. 

Calcarea caustica. 

Objective. Brown-red spots (scattered or clustered), of 
the size of a dime, on the anterior part of the leg, with 
swelling of the skin and pimples. Vesicles filled with 
lymph, and surrounded by a red areola. 

Subjective. Burning. Violent itching and stinging on 
the neck, back, and chest. 

Calcarea phosphorata. 

Objective. Acne rosacea ; red vesicles filled with yellow 
lymph. Carious ulcers. 

Subjective. Burning. Itching. Formication. 

Camphora. 

Objective. Erysipelas in the face. Erythema from ex- 
posure to the rays of the sun. Face pale. Large pimple 
on the buttock. Pustules suddenly dry up and the swell- 
ing sinks in (in small-pox). Skin cold, bluish or purple, 
pale, and withered. 

Subjective. Burning pain when touched. Aching in 
the skin. Violent itching. 

Aggravation. In the evening in bed. From cold and 
cold air. 

Amelioration. From warmth (water), and being in the 
warm air. 

Accompaniments. Child refuses to be covered. Limbs 
cold and purple. Breath, forehead, and perspiration hot. 
Rattling in the throat. Utter prostration and spasmodic 
stifl:hess of the body. Painful and difficult micturition 
(seq.). 

Cannabis sativa. 

Objective. Acne rosacea ; large nodosity surrounded by 



296 DISEASES OF THE SKIN. 

red swelling on nose. Pimples on the nates and thighs. 
Bright red spots on the prepuce. Small white vesicles on 
the thighs, with large red smooth edges, leaving brown- 
red spots. 

Subjective. Burning like fire. 

Aggravation. In the forenoon. 

Cantharis. 

Objective. Carbuncles. Erythema from exposure to the 
rays of the sun. Eczema. Fissure and exfoliation of 
lips. Gangrene of external parts. Pimples on backs of 
hands, or between thumbs and under fingers, surrounded 
by a red areola on sternum. Petechise. Ecthymatous 
pustules. Pemphigus. Erysipelatous inflammation of 
skin, with exudation of serous liquid, raising the epider- 
mis like a blister. Yellow spots above the umbilicus. 
Red stigmata on thumb, as if pimples would form. Ulcers 
with increased suppuration. Vesicles between chin and 
lips, on forehead and cheek, and on palm of hand. 

Subjective. Biting. Burning (in pimples) when touched ; 
and a titillating pain after dinner, as if the parts were 
raw. Itching and lacerating (in ulcers), and acute draw- 
ing. Pricking. Stinging. Tearing. Ulcerative pain 
when touched. 

Aggravation. After dinner. Every seven days. In 
changeable weather. When touched. After exanthe- 
mata. 

Amelioration. From rubbing. 

Accompaniments. Hands and feet cold. Stinging, smart- 
ing during micturition, and yellow urine. 

Capsicum annuum. 

Objective. Fissures and ulcerations in the lips. Corrod- 
ing herpes on the forehead. Measles. Red spots or points 
on the face. 

Subjective. Creeping here and there as from a fly. Cor- 



REMEDIES. 297 

rosive itching. Stinging-burning itching. Gnawing-burn- 
ing itching, as from vermin in the scalp. 

Aggravation. In the evening. In children. From 
changing the position and scratching. 

A melioration. From continued motion (walking). 

Accompaniments. Urgent brain symptoms. Restless- 
ness. 

Carbo animalis. 

Objective. Adenitis ; hard swelling. Boils on the arms. 
Corns. Chilblains. Erysipelas of the face. Copper-col- 
ored eruption on the face. Pimples on the face. Hard, 
elevated ridge near the wrist around the arm. Red or 
rose-colored spots on the cheeks. Yellowness of the face. 
Vesicles on the lips, which are chapped and bleeding. 

Subjective. Burning pain. Itching. Stitches. 

Aggravation. In the forenoon, and evening in bed. 

Carbo vegetabilis. 

Nosological. Adenitis. Boils. Carbuncles. Chilblains. 
Eczema. Herpes. Intertrigo. Moles, i^sevi materni. 
Kettle-rash. Prurigo. Scald head. Ulcers. Scabies. 

Objective. Adenitis ; glandular and lymphatic swellings, 
suppurations, and indurations. Boil on the upper arm, 
with pimples all around it ; before the ear, and under the 
jaw. Blotches on calves of the legs. Pine blotches like 
dry itch. Large red blotch, with a black pimple in the 
centre, close to the rectum. Blotches on the wrists and 
feet. Carbuncles, dark, blackish, and of a fetid odor. 
Eczema on the legs. Fine eruption on the hands. Herpes, 
moist, on chin and at commissures of lips. Intertrigo, 
much rawness of parts opposed. Lips cracked, blistered, 
and ulcerated. Reddish-brown moles, i^eevi materni ; 
brigl it-red, round, flat aneurisms by anastomosis (venous 
capillaries), bleeding profusely when irritated or wounded. 
Pimples on the nape of the neck. White pimples on the 

20 



298 DISEASES OF THE SKIN. 

backs of the hands turning red after scratching. Red 
pimples on the face in young persons. Scabies ; eruption 
dry and fine (or humid) all over, but worse on the ex- 
tremities. Single, scattered, red spots on the neck. Red 
sore spots about the pudendum, looking like little ulcers. 
Ulcers discharging pus of a cadaverous odor. A healed 
ulcer breaks open and discharges corrosive bloody lymph. 
Varices Vesicles on the knees. 

Subjective. Burning pain. Itching changed to burning 
by scratching. Itching and soreness in the axillae. Pres- 
sure and tension around ulcers. Tingling. 

Aggravation. In the morning. In wet weather. In 
very warm weather. From wrapping up. From cold (?). 
From scratchino;. After undressino;. After mercurial 
salves. From abuse of Peruvian bark. From eating 
butter and pork. 

Accompaniments. Breath, extremities, and perspiration 
cold. Dyspepsia, belching wind and passing flatus. Pu- 
trid sore throat, sloughing away of the smaller parts of 
the fauces. Rattling in the throat. Utter prostration. 
Persistent hoarseness. 

Carbolic acid. 

Objective. Acne. Carbuncles. Cancerous afl:ections. 
Eruption, vesicular, all over. Eczema. Pustular erup- 
tion. Impetigo. Lupus. Leprosy. Psoriasis inveterata. 
Prurigo. Pityriasis. Pediculi. Scabies. Scarlatina ma- 
ligna. Confluent small-pox. Indolent irritable ulcers 
with unhealthy granulations and fetid pus. 

Subjective. Itching of various parts. 

Carburetum sulphuris. 

Objective. Burns and scalds. Herpes exedens ; tetter- 
like eruption, produced by scratching with the finger- 
nails, spreads, and is covered by yellowish-brown scabs. 



REMEDIES. 



299 



Herpes pblyctsenoides covering the dorsum of the left 
hand ; vesicles on a red, swollen, painful basis ; mostly 
separated from each other ; contain an opaque yellowish 
fluid, which discharges and forms thick yellow scabs. 
Subjective. Itching. 

Causticum. 

Objective. Burns. Blisters on the feet after rubbing. 
Dry eruption, size of a pin's head, with hollow tips, leav- 
ing red spots when scratched open, on the forehead, arms, 
and abdomen. Encysted tumors. Felons. Herpes on 
the ring finger and the nates ; humid at the nape of the 
neck. [N^odosities under the skin. E^ettle-rash. Pimples 
here and there on the face ; pimple changed to a wart. 
Pemphigus. Rash on the thighs. Scarlet fever. Sca- 
bies. Ulcer on the lips. Large vesicles on the chest and 
back. Varices. Warts. Yellow color of the face and 
the warts upon it. 

Subjective. Burning after scratching. Formication. 
Gnawing itching. 

Aggravation. In the evening. During diVj weather. 
From cold. During perspiration. On waking. After 
Sulphur and Mercury. 

Amelioration. During wet weather. From being in 
warm air. From cold w^ater (?). 

Accompaniments. Involuntary micturition when sneez- 
ing, coughing, or walking. Sensitiveness to cold air, 
Orthopnoea with chill, heat, and sweat. 



Objective. 



Cerasus Virginiana, 

Ulcers and scrofula. 



Ghamomilla. 

Objective. Erysipelas in the face. Excoriation of chil- 

Lips excoriated, 



dren and infants between 



thisrhs. 



300 DISEASES OF THE SKIN. 

cracked, and ulcerated. Miliary eruption on the cheeks. 
Pustulous pimples on the face. Pimples about an ulcer, 
with scurf and suppuration. Thick clusters of red pim- 
ples on red spots on the skin in the lumbar region, and 
on the side of the abdomen. Pash of infants and lying- 
in women. Ped rash on cheeks and forehead. Small 
red spots on the skin, covered with rash-pimples. Ped- 
ness and swelling of ulcers. Skin yellow and unhealthy ; 
small injuries suppurate. Ulcers. 

Subjective. Burning. Creeping and sensitiveness to 
touch. Bruising pain and smarting. Itching. Lanci- 
nating and darting in ulcers. Stinging pain, leaving 
soreness after scratching. Smarting. Shuddering all 
over. 

Aggravation. In the evening and night. In children ; 
when the child has been kept too warm. After taking 
cold. After scarlet fever. During the menstrual flow. 
During pregnancy. During perspiration, and after sup- 
pressed perspiration. 

Amelioration. From warmth. After perspiring. 

Accompaniments. Painful, acrid, watery diarrhoea. 
Child fretful, and must be carried up and down to be 
relieved. 

Chelidonmm. 

Objective. Elevated exanthema on the face. Eruption 
on face like miliary rash, measles, and herpes. Pimples, 
pustules, and vesicles on the face. Spots above the tendo 
Achillis. Ped round spots on the forearm. Skin yellow 
all over. Old putrid spreading ulcers. 

Subjective. Burning pain and stinging. Skin feels cool. 

Aggravation. In the morning. From motion. 

China or Cinchona. 

Objective. Bleeding after scratching. Boils on the 
chest. Erysipelatous swelling of the whole body. Humid 



REMEDIES. . 301 

gangrene. ITettle-rash coming out after scratching. 
Pimples on the loins, arms, and chest. Pemphigus. Skin 
placid and dry. Hard dark-red swelling on the calf of 
the leg, terminating by suppuration. Arthritic and 
rheumatic hard red swellings. Ulcers with fetid ichor. 

Subjective. Biting itching. Beating in ulcers. Burn- 
ing and pressure. Boring. Itching. Pulling and titil- 
lation. Stinging itching in wounds. Painful sensitive- 
ness of the skin, even of the palms of the hands. 

Aggravation. At night. Periodically. In wet wea- 
ther. In the heat of the bed. From washing. After 
scratching. After suppressed perspiration. Prom drink- 
ing milk. 

'Accomyaniments. Anasarca. Threatened anaemia, with 
diarrhoea or lienteria. Swelling of the limbs. 

Chininum sulphuricum. 

Objective. Cancerous ulcers. Thick, livid, humid crust, 
which becomes dry and black, with red, humid, and 
finally yellowish dilated margins. Erysipelas gangrenosa. 
Gangrenous mortifications. Inflammation of the skin. 
Deadness and livid redness of the skin, with the forma- 
tion of a gelatinous pseudo-membrane or thin superficial 
scurf. Fetid suppurations. Skin placid and sensitive to 
the touch. An ichorous ulcer changes to one secreting 
mucus. 

Subjective. Sensitiveness and tightness of the scalp, 
and soreness of the roots of the hair. 

Chloral hydrate. 

Objective. A purple discolored band two inches wide 
along each side of the vertebral column. General des- 
quamation in round patches like blisters, from which serum 
had been absorbed, leaving the skin beneath of a purple 
(and in some places yellow) color ; arms red and speckled 



h 



302 . DISEASES OF THE SKIN. 

with shreds of white dead epidermis partially separated 
from the subjacent cutis. Bright-red or bluish erythema 
over the whole body, permanent under pressure, mot- 
tled with livid patches and deep red spots. Erysipelas. 
Herpes circinnatus. ]^ettle-rash. Purpura hsemorrhagica. 
Amass of minute points or stigmata upon the red surface 
of the left arm, of a much deeper red, permanent under 
pressure. Pruritus of the whole skin and of the mucous 
surfaces of the upper outlets of the body. Scarlatina. 
Large greenish spots at the base of the spine. 

Subjective. Sensation as if a hair were on the nose or 
cheeks, compelling scratching, when it shifts to another 
place. 

Accompaniments. Lips, mouth, and fauces red and ra'w, 
gums spongy, and tongue blistered and ulcerated. Lips 
covered with sordes and dried blood. Left arm swollen 
and indurated. Pulmonary congestion. Great prostra- 
tion, tendency to somnolence, weak, irritable pulse (threat- 
ened paralysis of the heart), and deeply coated tongue. 

Cicuta virosa. 

Objective. Eruptions, purulent, suppurating in the face, 
with yellow scurf on chin like dried honey. Eczema on 
the face. Humid, scabby herpes. Lentil-sized, dark-red 
pimples in the face and on the hands, becoming confluent. 
Pustules on both hands and balls of thumbs running to- 
gether into one dark-red pustule. Scald head; thick 
white scurfs on the chin and upper lip which secrete a 
dampness ; sometimes scurfs in the nose. Swelling of the 
neck from wounding the oesophagus. Vesicles on the 
upper lip ; red vesicle on the right scapula. Painful ulcer 
on the lips. 

Subjective. Burning-itching of the whole body. 

Cimicifuga (Actea) racemosa. 
Objective, Papular eruption on backs of hands and 



REMEDIES. 303 

wrists. White pustules on face and neck, sometimes 
large, red, papular. 

Subjective. Heat in one side of the face. Pricking and 
heat all over. 

Cina. 

Objective. Red pimples. 

Subjective. Fine burning stitches. Violent itching at 
night. 

Amelioration. By scratching. 

Accompaniments. Child bores nose with fingers ; very 
fretful, and nothing pleases. Urine milky on standing. 
Colicky pains. Frequently called for in minor skin affec- 
tions of scrofulous children ayid infants. 

Cinnabaris. 

Objective. Sycosis. Small red spots on glans penis. 
Eed spots and points on the neck and chest changing to 
little blotches. Warts on the prepuce bleeding when 
touched. 

Subjective. Burning and itching. 

Aggravation. After scratching. 

Cistus Canadensis. 

Objective. Adenitis. Vesicular erysipelas. Herpes on 
the ears. Lupus on the face. Scrofulosis. Mercurial 
and syphilitic ulcers. 

Aggravation. In the evening and at night. From cold 
air. 

Clematis ereeta. 

Objective. White blisters on the face, as if burnt by the 
sun. Fungous excrescences. Humid eruption, with cor- 
rosive ichor, redness, and swelling of the skin. Dark, 
miliary eruption, exuding a dampness, which dries into 
crusts. Vesicular and herpetic eruptions. Herpes, scaly, 



304 DISEASES OF THE SKIN. 

with yellowisli, corrosive ichor ; herpes red and humid 
while the moon increases, and pale and dry while it de- 
creases. Eczema on the face inflamed during the increas- 
ing and dry during the decreasing of the moon. Large 
pustules around the loins. Psoriasis. Scabies sarcoptica. 
Scald head. Cancerous ulcers. 

Subjective. Burning pain or sensation of heat. Itch- 
ing and heat. Tingling and throbbing in ulcers. 

Aggravation. During the increase of the moon. From 
washing. From the heat of the bed. From wet poultices. 

(Erythroxylon) Coca. 

Objective. Dry, papulous eruption on the backs of the 
hands. 

Cocculus. 

Objective. Adenitis ; cold, hard, glandular swellings. 
Hard, dry blotches, surrounded by red borders on limbs, 
wrists, and back of fingers. Blister on edge of hand 
where finger commences. Boil on the inner side of the 
thigh. Hard blotches containing no fluid, surrounded by 
a red areola. After scratching, oozing of hardy lymph. 
Eed miliary pimples on face, back, and chest in the even- 
ing after undressing. Red pimple under the shoulder. 
Single pimples filling with pus, and then drying up and 
disappearing, on nose, temples, chest, and between scapu- 
lae. Pimples covering the inner side of the thighs. Wine- 
colored (red) irregular spots on the chest and behind the 
ears. 

Subjective. Burning and itching as from nettles. Burn- 
ing-itching stitches and dull stitches. Itching on chest, 
tibiee, and in axillse. Lacerating. Stinging pain and heat, 
as from a needle-point, when touched. Tearing pains. 
Sticking pains. 

Aggravation. During pregnancy. In the open air. 



REMEDIES. 305 

After scratching. From warmth. When covered up. 
"When touched. 

Coffea. 

Objective. Purple miliary eruption all over. Measles. 
Scarlatina. Small-pox. 

Subjective. Itching all over changes to burning. Ex- 
cessive sensitiveness of the skin. 

Accompaniments. Short, dry, hacking cough. I^ervous 
restless agitation, preventing all sleep. Palpitation of the 
heart. Weeping and irritability. 

Colchicum. 

Objective. Eruption and yellow spots on the face. 

Subjective. Itching as from nettles. Lacerating jerks, 
and tension. Stinging. Tingling. 

Aggravation. In the evening and at night. 

Amelioration. While reposing. 

Accompaniments. (Edematous swellings and anasarca. 
IsTephritis ; urine blood}^ and inky, and contains albumen. 

Colocynthis. 

Objective. Boils on the neck and face. Carbuncles. 
Corns. Herpes (scabby) on the face. Itchlike eruption. 
Pimples on the face. Skin peels ofl" all over. Painless 
tumor, size of a pigeon's egg, on the right tarsus. 

Subjective. Burning, jerking, tearing pain. Smarting- 
itching, followed by perspiration. 

Aggravation. In the evening in bed. During rest. 
. Accompaniments. Restlessness, followed by perspira- 
tion. 

Commocladia dentata (Guao). 

Objective. Erysipelatous swelling of various parts of the 
(body, followed by yellow desiccation and desquamation. 
[Vesicular, pustulous, ulcerative eruption on the legs. 
Herpes zona. Inflammation of the skin, followed by deep, 



306 DISEASES OF THE SKIN. 

hard-edged ulcers, discharging thick, purulent, greenish- 
yellow matter of a fetid odor ; the parts appear like raw 
meat, and the skin is covered by small shiny scales. 

Subjective. Painful burning on the face and arms. Vio- 
lent itching. 

Conium. 

Nosological. Adenitis. Cancer (scirrhus) and cancerous 
ulcers. Gangrene. Herpes. Impetigo capitis. Lichen 
agrius. Nettle-rash. Petechise. 

Objective. Bleeding from ulcers. Blueness of the whole 
body. Cancer on the lips, breast, etc., and in the middle of 
long bones. Gangrene of one part of an ulcer. Edges of 
ulcer turn black, with effusion of fetid ichor. Chronic, 
humid, or crusty herpes. Pustule on the foot. Large 
pimple on the mons veneris. White transparent pimples 
filled with an acrid humor, which forms scabs resembling 
those of scabies. Fine rash on face, back, and body. 
Yellow spots on the fingers. Chronic, brown, frequently 
recurring red spots on the body. Ulcers on the face and 
lips. Skin hot. 

Subjective. Burning. Creeping. Itching and stinging. 
Pricking-itching. Shifting, evanescent itching. Itching- 
burning stitches. Intolerable pains in affected parts. 
Tingling. Stinging like flea-bites, always one stitch at a 
time. 

Aggravation. At night. In the snow air. When walk- 
ing (?). Prom rubbing. After contusions. From drink- 
ing milk. From suppressed menstruation. 

Amelioration. From continued motion (walking?). 
From outward pressure. While fasting. 

Accompaniments. Black crusts on lips and teeth. 
Dropsy. Delirium or senselessness. Parotid and submax- 
illary glands swollen as hard as a stone. Fecal, fetid, smart- 
ing perspiration (with pimples). 



REMEDIES. 307 

Copaiva. 

Objective. Eczema, consisting of small vesicles smaller 
and flatter than the mercurial eczema. Measle-shaped 
exanthem, dark-red (or bright), elevated, lentil-sized, clus- 
tering together, and becoming confluent. ISTettle-rash, 
isolated patches. Groups of papules and pustules. Spots 
like those of a tiger, scarlet-red or rose-colored. Roseola. 

Subjective. Itching of raw spots. 

Accompaniments. Pains in limbs and stomach. Great 
restlessness of the extremities. Urine scanty and full of 
sediment, with burning in the urethra after micturition. 
Sleeplessness. 

Corallium rubrum. 

Objective. Psoriasis. Smooth red spots on the palms 
of the hands ; at first coral-color, then darker red, and 
finally copper-colored. Red flat ulcers on the glans penis 
and inner surface of the prepuce, with yellow ichorous 
discharge. 

Cornus circinata. 

Objective. Fine scarlet rash on the breast. Copious, 
clammy perspiration. 

Subjective. Itching in paroxysms, mostly at night. 

Cosmoline. 

Objective. Burns. Bruises. Blisters. Cuts. (Haemor- 
rhoids.) Acute inflammation of the skin. Scalds. 
Sprains. In the above, used locally especially. Also ec- 
zema, and herpes zoster. 

Crocus sativa. 

Objective. Chilblains. Livid complexion. Scarlet red- 
ness of the whole body. Circumscribed red spots on the 
face. 



308 DISEASES OF THE SKIN. 

Subjective. Burning. Tingling. 

Aggravation. In the morning. During pregnancy. In 
the warm room. 

Amelioration. In the open air. 

Crotalus cascavella. 

Objective. Yellow complexion. Pustules on toes of left 
foot. Eed pimples with white tips all over. Pimples 
like flea-bites, becoming raised, exfoliating, and leaving a 
black point in the centre. Pimples on the scalp. Bright 
yellow spots on the upper part of the right hand. Round 
spot between the breasts, black above and red below. 

Subjective. Formication (in face and feet). Itching (on 
thighs, calves of legs, and soles of feet). Pricking (in the 
bends of knees especially) all over. 

Crotalus horridus. 

Objective. Abscesses on the elbow discharging a red- 
brown matter, with shiny particles. Blisters and livid 
spots on the body. Little blotches on the skin. Small 
blisters around the eyes. Eruption in five stages, redness, 
vesicles, pustules, desiccation, and desquamation. Vesicu- 
lar eruption on the septum narium. Scarlet erythema 
over the whole body. Eruption around the mouth. Es- 
chorise, dry, and finally black. Erysipelas of the face. 
Herpes on the scrotum. Gangrene, separated from the 
muscles by a fetid fluid ; black spots, with red areola, and 
dark blackish redness of adjacent tissues. Pimples on 
the face. Scarlet redness, with rashlike vesicles. Yellow 
and black spots all over. Yellow-greenish and bluish 
spots, with decreased swelling. Swelling on the wrist 
containing serum. Swelling of the whole body, and of 
the submaxillary glands and tonsils especially. Malig- 
nant ulcer where the bite was inflicted (fourteen years 
before), with swelling of the parts. 



REMEDIES. 309 

Accompaniments. Complexion and urine yellow. In- 
difference. Shivering and diarrhoea. ^Nausea, headache, 
and irregular stool. Frequent raising of mucus, with a 
burning sensation in the throat and rectum. Frequent 
fainting fits, with imperceptible pulse. 

Croton tiglium. 

Objective. Eczema on the face and genitals. Eschorise 
dry, and finally black. Scarlet erythema all over, with 
rash-like vesicles. Erysipelas of the face ; oedematous 
indented eyelid covering the eye, and large water-blisters 
on the chin. Herpes, redness of the skin, formation of 
vesicles and pustules ; desiccation, desquamation, and fall- 
ing off of the pustules. Impetigo. Prurigo. Pustules. 
Vesicular and erysipelatous redness of the skin. 

Subjective. Painful burning and itching. 

Accompaniments. Salivary submaxillary glands and ton- 
sils irritated and swollen. 

Cundurango. 

Objective. Pustular eruption. Open epithelioma. Ery- 
sipelas. Salt rheum ; rhagades on the hips and in the 
bends of the knees, discharging an ichorous fluid, irritat- 
ing the surrounding parts. Scrofulosis. Small-pox. 
Syphilis. Teleangiectasis. Cancerous (open) ulcers. 

Cuprum aceticum. 

Objective. Leprous eruption, consisting of spots, with- 
out 'itching. Repercussion of the eruption, and metas- 
tasis to the brain. Face pale and twitching. Measles. 
Scarlatina. 

Aggravation. After the use of Pulsatilla. 

Accompaniments. Convulsions. Vomiting and gagging. 
On falling asleep begins to talk, scold, scream, turn, and 
twist ; when awakened is rational. 



310 DISEASES OF THE SKW. 

Cupri arsenitum. 

Objective. Boils on the scrotum. Eruptions of various 
kinds. Pustular tumors on the wrists and ankles. 
Subjective, Itching of the arms and legs. 

Cuprum metallicum. 

Objective. Contraction of the skin all over the body. 
The eruption quickly disappears. Eruptions resembling 
lepra, dry itch, measles, and scarlatina. Herpes in the 
bend of the elbow forming yellowish scales. Rash on 
chest and hands. Spots on the arms. Old ulcers. Wa- 
tery vesicles on the tips of the fingers. 

Subjective. Burning-itching. 

Aggravation. At night. Before the menses. 

Amelioration. During the sweat. From being mes- 
merized. 

Accompaniments. Convulsions, rolling of the eyes, and 
distortion of the face, mouth, and flexor muscles. De- 
lirium. Grreat restlessness. Sopor. 

Cyclamen. 

Objective. Eczema on the face. Bright red spots on 
both thighs. Red vesicles at the middle joint of the little 
finger of the left hand. 

Subjective. Itching-gnawing. Stinging-itching. Press- 
ing, drawing, or tearing pains. Sudden, sharp, continu- 
ous pricking, leaving a numb sensation. 

Aggravation. In the afternoon, and in the evening in 
bed. From eating fat food. After the itching. 

Amelioration. Erom moving and walking. From 
scratching, wiping with the hand, and being touched. 

Digitalis. 

Objective. Cyanosis. Desquamation all over. Black 
pores in the skin, which ulcerate. Pimples on the back. 



I 



REMEDIES. 311 

East on the hands. Skin is pale and yellow. Elastic 
swelling of the legs, and then of the hands and arms. 
White elastic swelling of the whole body. 

Subjective. Corrosive itching darting. Gnawing itching 
increasing to intolerable burning pricking, alternately in- 
creasing and decreasing. Skin painful to the touch. Titil- 
lation in the affected parts. 

Aggravation. In the warm room. 

Amelioration. Temporary, by scratching. 

Accompaniment. Increased urine. 

Dolichos pruriens. 

Objective. Dry tettery eruptions on arms and legs,, 
resembling zona. Prurigo. 

Subjective. Violent itching all over; sometimes with 
no perceptible eruption. 

Aggravations. At night. During pregnancy. From 
scratching. 

Drosera. 

Objective. Measles. Red spots on back of hand and 
behind wrist. Deep ulcer on the back of the right hand 
with discharge of bloody water. 

Subjective. Burning after rubbing. Itching stinging. 

Aggravations. By rubbing. On getting warm in bed. 
While lying down. After midnight. 

Accompaniment. Cough like hooping-cough, with draw- 
ing together of the abdomen. 

Dulcamara. 

Nosological. Adenitis. Dandruff. Eczema. Herpes. 
Impetigo. Measles. Nettle-rash. Pemphigus. Scar- 
latina. Scald-head. Warts. 

Objective. White blotches with red areola on arms and 
thighs. Vesicular eruptions ; suppressed eruptions ; humid 
eruption on the cheek. Herpes, oozing after scratching, 



812 DISEASES OF THE SKIN. 

reddish with red areola, bleeding when scratched, with 
red edges sensitive to touch and cold water; small round 
herpes, dry or humid, spreading and forming brown or 
yellow crusts ; herpes on the labia and hands especially. 
Bright red acuminated pimples, filling with pus. Small 
pimples on the chest and abdomen. Pimples and small 
ulcers about the mouth. Pustules which close, itching 
after scabbing over. Suppurating pustules. Red spots 
with vesicles. Scald-head, thick brown crusts with reddish 
borders on temples, forehead, and chin, which bleed when 
scratched. Hot dry skin. Warts on the hands. Wens. 

Subjective. Burning when rubbed. Burning itching, 
like the rapid crawling of insects. Itching stinging. 

Aggravation. At night. After taking cold ; from cold 
damp air. By washing. When rubbed. From suppressed 
nienstruation. By scratching at first and then ameliora- 
tion. 

Amelioration. In dry weather. From warmth. From 
continued motion. After scabbing over. 

Accompaniments. Constipation and painful strangury. 
Griping pain in the bowels, nausea, and diarrhoea. Glan- 
dular aftections. Soft, full, slow, bounding pulse. 

Electricitas. 

Objective. Blister filled with a greenish, sanguineous 
fluid on the hand. Carbuncles. Eruptions like measles 
and itch. Miliary eruption. Eruptionof small nodosities. 
Eed spot on the knee. Whitish spot on palm of left hand. 
Crusty ulcers on the extremities. White vesicles. Wheals. 

Subjective. Itching and burning. Tingling. 

Eugenia iambos. 

Objective. Pimples (sore acne) on the face. 

Euphorbium. 

Objective. Boils. Chronic and erysipelatous eruptions. 



REMEDIES. 313 

Herpes. Swelling of the face with pea-sized yellow vesicles. 
Scarlet red streaks on the left forearm, disappearing 
when moving the finger over them. Old, indolent ulcers. 
Warts. 

Subjective. Biting, stinging, gnawing, and burning itch- 
ing. Sensation as if a thin cord lay under the skin. 

Aggravation. From contact. While lying down. From 
changing one's position. 

Amelioration. From continued motion. 

Euphrasia. 

Objective. Condylomata. Fine eruption around the 
eyes and on the nose. Measles. Rash on the face. 

Subjective. Burning. Formication and numbness of the 
parts. Shooting itching. Stitches here and there all the 
night. 

Aggravation. In the evening. When touched. 

Accom'paniments. Tosses about in bed, and cannot get 
warm. Streaming of hot acrid tears from the eyes, with 
great photophobia and profuse and fluid coryza. Cough 
only by day. 

Euonymus Europseus. 

Objective. Small reddish dry spots and pustules on the 
chest. 

Ferrum aceticum. 

Objective. Inflammation and suppuration of dark 
hepatic spots. Fiery redness of the face, which is covered 
by 3^ellow spots. Varices on the feet. 

Ferrum metallicum. 

Objective. Chlorosis. "Where Ferr. aeet. seems indicated 
and fails. Scrofulosis. 

Subjective. Burning sensation, with pain as if excoriated 
when touched. 

Aggravation. Periodically. After midnight. From 

21 



314 DISEASES OF THE SKIN. 

changing one position. While lying down. From hot 
food. From abuse of quinine and tea. 
Amelioration. From continued motion. 

Fluoric acid. 

Objective. Bed-sores. ^NTsevi materni. Pimples. Ulcers 
with red borders and vesicles. Varicose veins on the left 
leg (in an old man). Small, bright red, round, elevated 
blood vesicles, resembling flesh warts. 

Subjective. Burning. Itching of cicatrices of ulcers. 

Galvanismus. 

Objective. Blisters becoming painful, brown, and swell- 
ed ; or else discharging much corrosive serum. Miliary 
eruption, like scarlatina, over the whole body except the 
face ; scarlet redness of the neck, chest, arms, and legs. 
Reappearance of suppressed scabies. The margins of ulcers 
become inflamed. 

Galium. 

Objective. Scurvy. Aphthae. Cancerous tumors on the 
tongue. Dropsy. Inveterate skin diseases. 

Gelseminum. 

Objective. Erythema of the face and neck. Papulous 
eruption on the face like measles. Eruptions recede. 
Erysipelas, not vesicular or phlegmonous, but a milder 
variety. Measles (especially catarrhal symptoms). Scar- 
latina Pimples on the forehead and neck. 

Aggravations. At night. When moving. 

Accompaniments. Chilliness. Deep-red, flushed heavy 
face, as if the patient were intoxicated ; eyes suflFused and 
heavy. Delirious muttering. Profound prostration of 
muscular power. Throat feels filled up, and is red and 
swollen. 



REMEDIES, 815 

Ginseng. 

Objective. Erythema on right cheek, ala nasi, and chin, 
followed by chapping of the parts. Mealy herpes with 
desquamation after fifteen days. Lips dry, red, cracked 
and bleeding, especially the lower lip. iMiliary rash. 
Pimples on neck and chest. 

Subjective. Burning. Itching. Tingling. 

Granatum. 

Objective. Chilblains. Painful corns. Adenitis. Pus- 
tules on forehead and temples, leaving small tubercles. i 
Ulcers. 

Subjective. Burning-itching. Sensation as if the parts 
w^ere excoriated. Dry heat all over. 

Graphites. 

Nosological. Adenitis. Boils. Dandruff. Phlegmon- 
ous and vesicular erysipelas. Encysted tumors. Eryth- 
ema. Eczema. Felons. Freckles. Falling off of the 
?iair. (Zona.) Herpes. Intertrigo. Lichen agrius. Pru- 
rigo. [N'odosities. Scrofulosis. Scald-head. Ulcers. 

Objective. Small boils on the neck, back, and arms. 
Phagedenic blister on the little finger, suppurating and 
discharging pus. Dandruff, with transparent, glutinous 
discharge. Eczema on genitals, calves of legs, bends of 
extremities, and head and face, and hands and forearms ; 
worse on the left side of the face ; and thick crusts and a 
raw surface and deep rhagades ; scald-head, with transpa- 
rent, glutinous discharge, forming crusts ; worse on the 
left side of the face, and on the chin, and behind the ears. 
Eruptions humid and scabby, sometimes with secretion 
of corrosive serum on the face, as if the skin were raw ; 
vesicular, below the ankles ; humid on the scrotum, over 
the nates and thighs, with but little moisture ; like red 
spots on the arms. Erysipelas (phlegmonous and vesicular) 



316 DISEASES OF THE SKIN. 

near the navel, with large vesicles ; with transparent gluti- 
nous exudation ; chronic, running in streaks. Excoriation 
in children, especially behind the ears and between the 
thighs, with transparent glutinous exudation. Felons ; 
superficial inflammation about the root of the nail. Her- 
pes, especially on face, tibia, and upper part of thighs ; 
humid, like an inflamed swelling. Proud flesh and fetid 
pus in ulcers ; deformity and thickening of the nails. 
Pimples moist on face, on labia ; small red tips full of 
pus at night, and gone the next day ; full of acrid water. 
Skin of the neck hard, nodulous, and rough. Obstinate 
chronic dryness of the skin. Skin unhealthy, every in- 
jury tends to suppurate. Eed spots like flea-bites. Eed 
spots all over, especially on the calves of the legs, for 
seven days. Red spots on the thighs. Innumerable red 
tips on the thighs. Enc3^sted tumors. Inveterate ulcers. 
Scurfy ulcer on the tibia, with inflamed edges and swell- 
ing all around ; scurf from the ulcer smells like herring 
pickle. Painless vesicles on the swollen prepuce. Corro- 
sive vesicles. Small vesicles after scratching. Pustules 
on the toes. Small pustules on the chin and chest. 

Subjective. Burning-throbbing. Burning-stinging spread- 
ing in rays in the face during erysipelas. Burning in an 
old cicatrix. Gnawing-itching. Itching. Tearing-burn- 
ing shooting. Pressure. Violent pain in the ulcerated 
limb, as if the bone were being dashed in pieces. Smart- 
ing. Stinging. Stitches. 

Aggravation. At night and in the evening (itching). 
In women with feeble catamenia (herpes). During, after, 
and from suppressed menstruation. On the left side, espe- 
cially face. In a draught of air. From cold and wet. 
After drinking. In the warmth of the bed. After 
scratching. 

Accompaniments. Face pale and bloated. Diarrhoea 
after menstruation. Constipation. Stools large, and almost 
impossible to evacuate. 



REMEDIES. 317 

Gratiola officinalis. 

Objective. Acne punctata. Small boils. Running, cor- 
rosive, eruption-like scabies or herpes. Herpes. Itchlike 
pustule below the left buttock. Miliary pimples with 
yellow tips. Redness of the face. 

Subjective. Itching, with burning. Tension and ting- 
ling, and sensation of swelling in the face. 

Aggravation. In the afternoon. After eating. After 
scratching. 

Amelioration. From contact. 

Guaco. 

Nosological. Cancerous ulcers and tumors. Obstinate, 
indolent ulcers. Syphilis (chancres). 

Guaraca trichloides. 

Objective. Acne rosacea. Adenitis. Eruption behind 
the ears. Dry eruptions. Eruptions of vesicles. Stea- 
toma. Red spots on the legs. Yellow spots on the tem- 
ples. Lupus of an ochre-red color. 

Aggravation. In the room. After acids. After physi- 
cal exertion. 

Amelioration. From warm coverings. 

Gummi gutti. 

Objective. Papulae on both hands, at first pale, and after- 
wards red. Pemphigus. Swelling and redness of the 
affected parts. Burning vesicles on the inner side of the 
lips. 

Subjective. Burning, stinging, gnawing, and ulcerative 
pains. Itching and formication here and there all night. 
Pain as if bruised. 

Aggravation. In the evening and at night. After 
scratching. 

Amelioration. While walking in the open air. 



318 DISEASES OF THE SKIN. 

Gymnocladus Canadensis. 

Objective. Erysipelas in the head and face, which is 
swollen and hot. 

Subjective. Sensation as if flies were crawling over the 
right side of the face. 

^ Aggravation. In the evening. After eating. From 
walking. 

Haracleum sphondilium. 

Objective. Humid eruptions like scabies. 
Subjective. Much itching. 

Helleborus. 

Objective. Miliary eruptions. Falling out of hair and 
nails. Peeling off of the epidermis. White vesicles on 
the lips. Skin pale. Scald-head ; moist scales, with en- 
gorgement of the glands of the neck. Small vesicles on 
the fingers of the right hand, humid for a long time, and 
then covered with scurf. 

Subjective. Pricking. Pressing. Sharp tearing stitches 
here and there. Soreness of the bone under vesicles. 
Smarting when touched. Sensation as if swollen parts 
were too heavy, and were being pressed asunder. Tear- 
ing pains. 

Aggravation. From 4 to 8 p.m., and in the evening es- 
pecially. In the cold air. In warm weather. 

Accompaniments. Sudden dropsical swelling of the 
whole body from repercussion of scarlet fever or purpura 
miliaris. 

Hepar sulphuris calcarea. 

Nosological. Adenitis. Acne punctata. Boils. Ec- 
zema. Erysipelas, simple, vesicular, and phlegmonous. 
Crusta lactea and serpiginosa. Herpes. Intertrigo. E'et- 
tlerash. Panaris. Scald-head. Scabies. Scrofulosis. 
Scurvy. Syphilis. Encysted tumors. Ulcers, chancrous, 
chancroid, inveterate. Varices. 



REMEDIES. 319 

Objective. Boil on the buttock. Large bolls. White 
blisters after scratching, discharging a whitish fluid. 
White blisters on the lips, chin, and neck. Eczema on the 
face and genitals, with a purulent secretion. Scaly erup- 
tion on the hands. Eruption of pimples and tubercles. 
Humid herpes, especially on the face. Intertrigo, spread- 
ing by new pimples beyond the main excoriation, which 
become merged into the old sore. ^tTettlerash on the 
hands and fingers, chronic form. Pimples around the 
knee, painless on the nape of the neck. Suppurating 
pimples on the sternum. Pimples on the forehead and 
chin. Crusty pimples on the faces of young people. Skin 
chapped, and rhagades on the hands and feet. Fat, pus- 
tulous, crusty scabies. Scald-head spreading as does the 
Hepar intertrigo (see above). Scurfy eruption on the 
right half of the nose, extending to the lip, with a deep 
fissure. Skin yellow and unhealthy ; every small injury 
suppurates. Eed tubercle on the right buttock. Ulcer on 
the last rib of .the right side. Chancrous ulcers on the 
prepuce. Ulcers bleed easily when gently rubbed, and 
discharge pus, smelling sour, putrid, and like old cheese. 
Inveterate, putrid, and cancerous ulcers. Vesicles on the 
chin. Varices. 

Subjective. Burning-itching. Burning and throbbing in 
ulcers at night. Gnawing corrosive pain in ulcers. 
Pricking tension. Pulsative pain in ulcers. Stinging 
soreness. Severe stitches in ulcers while laughing. 
Stinging-burning in corns. Shooting in ulcers. Violent 
throbbing gathering pain. 

Aggravation. At night. In the morning. From cold 
air. In dry weather, and in clear, fine weather. In the 
east wind. After the abuse of mercury. From exercise. 
From contact and outward pressure. From denudation. 
After injuries (falling, knocking, bruising, etc.). From 
lying on the painful side. On the right side. During the 
intermittent fever. 



320 DISEASES OF THE SKIN. 

Amelioration. In damp weather. From warmth, wrap- 
ping up, and in warm air. In the open air. When at 
rest. 

Accompaniments. Urine blood red. Dropsy after sup- 
pressed eruptions. Croupy cough with rattling in the 
chest, and without expectoration. Hepar hastens, in- 
creases, and shortens the supprative process. 

Hippomane mancinella. 

Objective. Face swollen and covered with small desqua- 
mating vesicles. Scarlet fever. 

Subjective. Burning. Itching-stinging. Stitches. 

Aggravation. At night. After eating. 

Amelioration. From heat. From lying down. 

Accompaniments. Sore throat in scarlet fever ; dryness 
and burning in the throat ; difficult deglutition. Stitches 
in the throat. Much thirst. 

Hydrastis Canadensis. 

Objective. Eczema along the borders of the hairy scalp. 
Erysipelas of the face ; erysipeloid rash on the face, neck, 
palms of hands, wrists, and joints of the fingers. Erup- 
tion like small-pox on the face. Small-pox with redness and 
swelling. Exfoliation of the skin. Infantile intertrigo. 
Pimples about the mouth and chin. Scurvy ; ulcers on 
the legs 

Subjective. Burning heat and itching. 

Accompaniments. Sore throat (ulcerated). G-reat phys- 
ical prostration, faintness, and weakness. 

Hydrocyanic acid. 

Objective. Eed pustules on the inside of the hip. Skin 
dry and pale, with a blue tinge. Scarlatina, at first dark 
and then livid. Vesicles on the arms and the neck. 

Subjective. Itching especially between the chin and the 
lips. 



REMEDIES. 321 

Hyoscyamus. 

Objective. Abscesses on the left side of the neck. Large 
boils frequently. Miliary eruption especially after the 
abuse of Belladonna. Gangrenous spots and vesicles here 
and there on the lower limbs. Herpetic spots on the nape 
of the neck. Two pimples at the elbow. Eruption of 
dry pimples like confluent small-pox. Large pustules on 
the chin. Scarlatina. Skin dry and brittle, or else soft 
and warm ; inflamed vermilion red. Brown spots on the 
skin. Bleeding ulcers. 

Subjective. Painful warmth after applying the hand to 
the parts. Pricking stitches from within outward. 

Aggravation. In the evening. During and from ap- 
proaching menstruation. With children. After taking 
cold. From eating and drinking. From contact. 

Accompaniments. Mouth dry ; cannot swallow. Obsti- 
nate dropsy. Abdomen distended and tympanitic. Stools 
watery and involuntary^ and are unnoticed by the patient. 
Stupid drowsiness, or sleeplessness and nervous restless- 
ness. Vacant staring or else red prominent eyes. Speech 
embarrassed and indistinct muttering ; delirious loquacity. 

Hypericum perfoliatum. 

Objective. Eruption like nettlerash on both hands at 
4 o'clock P.M., and in the evening. Wounds from nails, 
splinters, needles, mashed fingers, etc. When nerves have 
been injured, Hypericum is a prophylactic to lockjaw. 

Subjective. Violent itching. Smarting. 

Aggravation. At 4 p.m. In the evening. 

Accompaniments. Oppression of the chest. Chilliness 
all over. Vesical tenesmus. Much thirst. 

Ignatia. 

Objective. Blotch at the anus. Boil on the inner side 
of the thigh. Chilblains, excoriation, and vesicles (pru- 
ritus). Eruption on the face. E'ettlerash. 



322 DISEASES OF THE SKIN. 

Subjective. Burning in ulcers. Itching relieved by 
scratching. Fine pricking like flea-bites. 

Aggravation. In the morning. In the evening. After 
sweating. During the (chill in) intermittent fever. After 
eating. From coffee, sweet food, and tobacco. After get- 
ting warm in the open air. 

Amelioration. From scratching. By changing one's 
position. When lying on the affected part. 

Indigo. 

Objective. Boils on the neck and buttocks. Blotches 
on the hands. Small blisters on the left side of the face 
from the forehead to the neck. Pimples on the face and 
body. 

Subjective. Excessive itching (preceded by a dull head- 
ache), especially on right elbow-joint. 

Aggravation. In the afternoon and evening. 

Amelioration. From rubbing, pressure, and motion. 

Iodine. 

Objective. Adenitis. Flat blister on the knee as if full 
of bile. Large boil between the scapulae, with gangrene 
of the legs. Small boil on the posterior surface of the 
right upper arm. Furfuraceous eruptions. Eruption like 
scarlet-rash. Fungus articularis after measles. Felons. 
Goitre. Glandular swellings on nape of the neck, in the 
axillae and the groins. Herpes. Glandular indurations. 
Blue-red nodosities (furfuraceous) in the integuments of 
both mammae, with desiccated points at their tips. . Pap- 
ulae. Small dry red pimples on the arms, chest, and 
back. Redness on the neck and chest as if ecchymosed. 
Scrofulosis. • Scald-head. Small yellow scurf at each 
nostril and concha. Yellow spots on the neck. Round 
spot between thumb and index finger covered with two 
whitish vesicles. Red spots on the nose below the eye. 
Skin dry, rough, thickened, brown like parchment. Scales 



REMEDIES. 623 

off, leaving a greasy sweat under the scales. (Edematous 
dropsical swellings. Hot, dark-red lymphatic swelling in 
the right axilla, size of a walnut, discharging a cheesy 
pus. Ulcers, also on the cheek. Skin insensible, and of 
a dirty yellow color. 

Subjective. Burning-itching. Drawing-burning. Intense 
warmth. Jerking sensation (in pimples while appearing). 

Aggravation. In the night. In the morning and in the 
evening. From movement. From contact and outward 
pressure. From warm air and warmth generally. From 
lying in bed and on the painful side. 

Amelioration. From rubbing. From cold. 

Accompaniments. Ulcers in the throat. Everything in 
the distance appears blue to him. 

Ipecacuanha. 

Objective. Aphthae and eruptions on the lips. Herpetic 
eruption at the wrist-joint and anus, with red blotches 
after scratching. Miliary eruptions and bad effects of 
their repercussion. Measles, eruption tardy in appearing, 
Eash on the face. Scarlet fever. 

Subjective. Violent itching. Pricking-burning pains. 

Aggravations. From motion. From eating veal. In 
lying-in patients. From abuse of Cinchona. 

Accompaniments. During the nausea the patient scratches 
until relieved by vomiting. Constant nausea and occa- 
sional vomiting. Short hurried breathing, and incessant 
violent cough with every breath. 

Iris versicolor. 

Objective. Tinea capitis ; crusta lactea ; porrigo ; eczema 
of the face. Pustular eruption on the face around the 
nose and lips, and on the cheeks, secreting a sanious 
irritating pus. Obstinate lepra vulgaris on the arms. 
Psoriasis in relievo, skin fissured and irritable ; irregular 



324 DISEASES OF THE SKIN. 

patches on the knees and elbows and all over the body, 
with shining scales, and slightly raised and irregular 
edges. 

Jacea. 

Objective. Scald-head. 

Subjective. Violent itching. 

Aggravation. At night. 

Accompaniment Urine smells strong, like cat's urine. 

Jacaranda Garoba. 

Objective. Pimples on the glans penis. Syphilis, with 
characteristic eruptions. Ulcers on the legs. 

Accompaniments. Chordee, in gonorrhoea. Phimosis. 
Gonorrhoeal rheumatism. 

Jatropha Curcas. 

Objective. Ulcers in the nose and mouth. 

Juglans Cinerea, 

Objective. Erythema of the face. Peculiar exanthema- 
tous eruption like scarlet fever. Eruptions, pustular, 
vesicular, and like simple eczema. Erysipelatous inflam- 
mation of the body and extremities. Pemphigus. 

Kali bichromicum. 

Objective. Eruption on the face like small-pox. Dry 
eruption all over like measles. Papular eruption on the 
forearms, lasting a few days, and frequently recurring. 
Vesicular eruptions. Eruption of small pustules, like 
small-pox, all over, which die away without breaking. 
Eczema. Ecthyma. Impetigo, pustules. Eeddish hard 
knots on the thighs and legs, from the size of a pin's head 
to a pea, with depressed dark scurf in the centre, sur- 
rounded by an inflamed base (preceded by itching and heat). 
Small red elevation, with dark centre, and elevated cir- 
cumference. Inflamed feet, with ulcers breaking out in 



I 



REMEDIES. 325 

twenty-four hours; Small pimples on the legs, which 
spread into large scarlet blotches, discharging yellow mat- 
ter. Small round pustules on the hands, secreting a wa- 
tery lymph when opened ; if left alone the secretion con- 
solidates into a yellow viscid mass. Small pustules at the 
roots of the nails on both hands, extending back over the 
hands to the wrist ; the arm becomes highly inflamed, and 
the axillary glands suppurate. Pustules on the arms the 
size of a split pea, with a hair in the centre. Swelling of 
the arm, followed by a boil-like elevation, which turned 
into a large ulcer with overhanging edges. Redness, 
swelling, and suppuration at the wrist. Skin hard, dry, 
and red. Ulcers on the forearms and arms. Painful ulcer 
under the thumb-nail. Oval dry ulcers, with overhang- 
ing edges, and bright-red areola, hardened movable base, 
with a black spot in the centre. Ulcers corrode, and be- 
come deep, but don't spread in circumference. 

Subjective. Itching and heat at night, followed by the 
appearance of the eruption. 

Aggravation. In the morning, at night, and periodi- 
cally. In hot weather. After eating. In fat, fair-haired 
children. 

Amelioration. From heat. From drinkins; hot tea. 

A ccompanimenis. Punning of water from the eyes, with 
burning in them when opened. Watery discharge from 
the nose, with great sensitiveness and ulceration of the 
parts. Pustules on the cornea. Stitches in the left ear, 
extending into the neck and head, with swelling of the 
glands. Thirst, with dryness of the mouth and tongue. 
Watery diarrhoea, followed by tenesmus. Loud rattling 
cough, with stringy expectoration. 

Kali carbonicum. 

Objective. Bleeding of ulcers, especially at night. 
Blotches after scratching. Chilblains of a reddish hue. 
Freckles. Herpes on the legs and thighs. J^ettle- 



326 DISEASES OF THE SKIN. 

rash. Odor from the moutli like oM cheese. Pimples 
on the nape of the neck. Ulcerated pimples at the 
anus. Small pimples on the chest and back. Pimples on 
the face and eyebrows, with redness and swelling. Yel- 
low scaly spots on the abdomen and about the nipples, be- 
coming moist when scratched. Red and yellow spots on 
the body, oozing after scratching. Skin on the hands 
rough and chapped. Scald-head. Spreading vesicles on 
the left index finger, discharging a Avatery humor. Vesi- 
cles on the tibia, with inflamed areola. Corrosive vesicles. 
Vesicles and rhagades on the lips. Old warts on the face. 
Wens on the scalp. 

Subjective. Aching. Burning as from a vesicatory. 
Burning lancinating-itching. Cutting pain. Itching- 
stinging. Violent itching, especially on the abdomen and 
thighs. Pricking. Sensation as if painfully ulcerated. 

Aggravation. After midnight (at 3 o'clock a.m.). From 
cold, and in the cold air. After eating. From gettiug 
heated. During and from suppressed menstruation. 

Amelioration. From warmth. Warm air. 

Accompaniment. Obstructed respiration. 

Kali causticum. 

Objective. Warts and ephelides. 

Kali chlorieum. 

(chloride of potash.) 

Objective. Miliary and venereal eruptions. Inflamed 
flaws in the nails. Pimples on the forehead, face, and be- 
tween the lips and chin. Phlyctsenoidal pimples on the 
backs of the hands. Rash, with single pimples. 

Subjective. Itching. 

Kali hydriodicum. 

Objective. Small boils on the neck, face, head, back, and 



REMEDIES. 327 

chest, of various sizes, coDsisting of slightly red blotches 
in the skin, growing rapidly to abscesses, with slightly 
reddish cuticle, breaking and discharging spontaneously. 
Blotch on cheeks, surrounded by swelling and redness. 
Blotches at the corners of the mouth. Herpes on the 
face. Herpes, size of a dime, on the cheek. Goitre. 
Itchlike pimples and vesicles. Purpura hsemorrhagica. 
Papulous eruption all over, but especially on the face and 
shoulders. Pimple near the nostril. Small pustule on 
the chin, discharging water. Tip of the thumb ulcerates 
and turns yellow. 

Subjective. Itching. Burning. Painful sensitiveness. 

Aggravation. At night. 

Accompaniment. Dry throat. 

Kali nitricum. 

Objective. Boil at the lower part of the thumb. Fatal 
inflammation and gangrene. Pimples on the right fore- 
arm, which discharge water when scratched. Small pus- 
tule on the face. Vesicles full of thin 3'ellow fluid. 

Subjective. Burning. Formication in the hands and 
feet. Itching. 

Aggravation. In the afternoon and evening. In bed. 
From smelling of camphor. 

Kalmia latifolia. 

Objective. Red inflamed spots like incipient boils here 
and there. 

Kreosotum. 

Objective. Acne. Carbuncles. Eruption of nodosities 
and blisters like bug-bites. Furfuraceous, mealy, dry or 
humid, and pustular herpes. Red scaly skin in the bends 
of the knees like herpes. Blotches like nettlerash. Pus- 
tulous pimples, with yellow scabs on the chin and cheek. 
Large, greasy, pock-shaped pustules all over. Skin on 



328 DISEASES OF THE SKIN. 

hands cracked and rigid. Scrofulous and psoric affec- 
tions. Scald-head. Pimples on the forehead. Grangre- 
nous, cancerous, and putrefying ulcers. 

Subjective. Itching, with violent burning after scratch- 
ing on the extremities, whereas on the abdomen the itch- 
ing is relieved by scratching. 

Accompaniment. Swelling and stiffness of the feet. 

Lachesis. 

Nosological. Aneurisms. Boils. Malignant carbuncle. 
Chilblains. Erysipelas. Eczema. Ecchymosis. Ery- 
thema papulosum and nodosum. Fungus haematodes. 
Felons. Gangrene. Herpes. Intertrigo. Leprosy. 
Measles. I^ettlerash. Pemphigus. Malignant scarla- 
tina. Scabies. Cancerous, syphilitic, and mercurial ul- 
cers. Warts (also on horses). 

Objective. Boils on the thighs and lingers. Gangre- 
nous blisters. Ped suppurating blotches under the jaw. 
Carbuncles of a bjuish, purplish appearance ; can't bear 
any bandage about the parts, especially around the neck; 
cerebral symptoms supervene. Inflammation and sup- 
puration of old chilblains. Eczema on the legs. Erup- 
tions about the eyes. Simple, phlegmonous, and vesicular 
erysipelas of the face, especially under the left eye, with 
pimples, vesicles, rhagades, and corrosive oozing on the 
elbow. Ecchymosis. Ulcers and wounds bleed readily 
and profusely. Fungus hsematodes on the right mam- 
mae, as large as a peony, with profuse hemorrhages. Fel- 
ons with proud flesh. Old reddish herpes, with thick 
scurf in the region of the whiskers ; reappearance of sup- 
pressed herpes in the face. Herpes on the back. Vesic- 
ular eruption, with a red crown. Leprosy ; loss of sensa- 
tion ; toes fall oft'. Miliary rash, like nettl crash and 
measles. Measles with livid eruption. Pustules. Pap- 
ulae. Pimples on the face and back ; on the arms, thighs, 
and legs after scratching. Psoric eruptions on the fingers 



REMEDIES. 329 

and legs. Deep rhagades in the toes and on the hands. 
Scabies. Dry miliary itch ; small and large yellowish 
and bluish-black vesicles. Rash all over ; small smooth 
spots of the size of a needle-point. Small reddish spots 
on the face, neck, and arms. Red spots, with vesicles on 
the fingers and thighs. Scarlet spots on the back. Yel- 
low, red, and copper-colored spots. Scarlet fever, and 
scarlet eruptions, with swelling of the cervical glands, 
and black lips and reddish tongue. Red lumps and tu- 
bercles. Ulcers small, and scattered about upon the neck 
and face. Black, gangrenous ulcers and wounds on the 
legs. Ichorous ulcers. Chronic, indolent ulcers, with an 
uneven, bluish bottom, and an offensive ichor. Ulcers 
surrounded by pimples, vesicles, and other small ulcers. 
Cured ulcers break out again. Superficial ulcers foul at 
the bottom, with red crowns, on the legs. Cancerous ul- 
ceration, or putrefaction of the fiesh, which falls off piece- 
meal. Skin around ulcers and wounds is yellow^, green, 
lead-colored, bluish-red, and black. Vesicles on the hands, 
fingers, and back. Small, hard, Avhite, deep vesicles. 
Warts and excrescences on the hands and fingers. 

Subjective. Burning, itching, and formication as from 
ants. Pain in old cicatrices of ulcers. Pricking in the 
face and about the eyes. Stinging. 

Aggravation. In the evening and before midnight (from 
noon to midnight). Periodically (every spring or fort- 
night). After spirituous liquors. After the abuse of 
mercury. After sleeping, rising from the bed. From 
the heat of the sun. After violent bleeding. On the left 
side. In damp, hot, changeable weather. 

Amelioration. In the open air. From warmth. 

Accompaniments. Constipation. Convulsions. Dropsy 
in delayed desquamation. Diphtheritic inflammation of 
the throat. Fainting, nausea, spasmodic and bilious vom^ 
iting. Inflammatory fever. Sordes on the teeth. Tongue 
coated dark-brown, ulcerated, and can't be protruded, or 

22 



330 DISEASES OF THE SKTK 

is run out with great difficulty, and trembles. Weak, 
quick, intermittent pulse. Cold sweats. Urine almost 
black. 

Lactuca Virosa. 

Objective. Inflammation of the skin. Various kinds 
of eruptions. Dropsical swellings. 

Subjective. Subcutaneous lancinating, pinching, and 
smarting, with shootings. 

Accompaniments. Asthma. Dulness and pain in the 
head. Short cough and dyspna3a. Small, slow pulse. 
Chilliness, with great distress when lying on the back. 

Lamium Album. 

Objective. Blisters on the heel from the parts being 
rubbed by the shoe, changing to a long-lasting ulcer. 
Ulcers, with redness and swelling of the surrounding 
parts. 

Subjective. Biting. Pain as if excoriated. Pricking, 
gnawing, itching of the arms, hands, and neck. Smart- 
ing, stinging, and shooting. 

Aggravation. In the morning and evening when lying 
in bed. 

Lappa Major (Arctium L.). 

Objective. Adenitis (especially affecting the axillary 
glands). Boils on the face, eyelids, and all over. Erup- 
tion on the head, face, and neck. Moist, bad-smelling 
eruption on the heads of children. Various forms of 
eczema. Chronic erysipelas of years' standing. Styes 
and ulceration of the eyelids. Scald head ; grayish-white 
crust ; most of the hair gone, and the eruption extends 
to the face. 

Accompaniments. Headache from a suppressed eruption 
of the scalp. 

Laurocerasus. 

Objective. Eruption around the mouth. Yellow spots 



REMEDIES, 331 

on the face. Skin dry, and rough and scaly between the 
fingers. Pimples on the right upper arm. 

Siihjedive. Burning when touched by water. Itching 
stitches. 

Aggravation. In the evening. While lying down. 

Amelioration. In the open air. At night (?). 

Accompaniments. Painlessness with all complaints. 
Patient feels cold. I^ausea on approaching a stove. Dry 
cough, aggravated while lying down. 

Ledum Palustre. 

Objective. Boils on the forehead. Eruption (eczema) 
in the bends of the extremities. Miliary eruption on the 
wrist. Eruption, like rot in sheep, on the chest and arms, 
with desquamation. Dry, scaly furfuraceous herpes on 
the face. Felons from external hurts (splinters, etc.). 
Fine pimples on the dorsum of the foot. Small red pim- 
ples on the back and chest. Pimples on the forehead. 
Rash on the wrist-joint. Bluish spots on the body like 
petechise. Red humid spot above the arms. Small, 
round, red, insensible spots on the inner side of the arms, 
and on the abdomen and feet. Dropsical swellings. Hot, 
tense, hard swellings. Hard tumor on the dorsal side of 
the wrist. Red tubercles on the forehead. Yaricellse on 
the chest and upper arms, peeling off in five days. 

Subjective. Constant itching. Itching-gnawing on the 
abdomen and arms, with burning in the open air and 
after scratching. Itching-pricking relieved by scratch- 
ing, but returning soon with more violence. Lacerating. 
Smarting. Fine stinging-itching. Stinging when touched. 
Tearing pains are quite characteristic of Ledum. 

Aggravation. In the evening and before midnight. On 
moving. While walking. In the open air. On getting 
warm in bed. 

Amelioration. While reposing. 

Accompaniment. Anxiety. 



332 DISEAfiES OF THE SKIN. 

Lobelia Inflata. 

Objective. Eruptions (between the fingers, and on the 
backs of the hands and forearms) of small vesicles. 
Subjective. Tingling, pricking, itching. 

Lupulus. 

Objective. Face swollen and covered with an eruption. 
Vesicles on the face and hands, increasing, and finally 
bursting spontaneously. 

Lycopersicum Esculentum. 

Objective. Inveterate herpes on the palmar surface of 
both hands. 

Lycopodium. 

Nosological. Adenitis. Aneurisms. Baldness. Boils. 
Chilblains. Dandruff. Erysipelas. Ecthyma. Eczema. 
Erythema nodosum. Freckles. Felons. Goitre. Herpes. 
Intertrio-o. Lichen ao;rius. N'ettlerash. J^eevi materni. 
Arthritic nodosities. Prurigo. Pityriasis. Scrofulosis. 
Scarlet fever. Scald-head. Scurvy. Ulcers. Varices. 
Warts. 

Objective. Boils returning periodically. Boils in the 
axillae. Small boils on the hands. Dandruff, smelling 
badly. Eruptions on the face, neck, chest, lips, chin, and 
at the anus. Secondary eruption of dark-red blotches on 
the face, hands, back, and thighs. Erysipelas on the face 
and forearms. Eczema on the face, genitals, legs, neck, 
and fingers of the right hand ; bleeds easily, and is cov- 
ered with thick crusts, with fetid secretion beneath. 
Scald-head, begins on the back of the head. Felons, with 
many constitutional symptoms. Insensible yellow-brown 
shrivelled herpes. Humid suppurating herpes, full of 
deep rhagades, and covered with thick crusts. Herpes 
on the tibiae. Scaly furfuraceous herpes, yellow at the 



REMEDIES. 333 

base, and bleeding on the face at the corners of the mouth. 
Herpes on the nape of the neck, in the axillae, on the 
arms, thighs, and calves of the legs. Intertrigo of chil- 
dren, which becomes offensive, and bleeds much. Venous 
and arterial nsevi materni. 

Objective. Pimples on the lower arms, filled with pus. 
Pimples between the scapulae, and on the nape of the 
neck. Red pimples in clusters around the neck. Pim- 
ples on the chin. Prurigo, an (itching) eruption of the 
anus. Pityriasis in spots on the scalps of fair-haired 
strumous girls. Skin dry. Brown spots on the abdo- 
men. Large red spots on the legs and epigastrium. He- 
patic spots on the chest. Painful maculae hepaticae on 
the chest and arms. Dropsical and glandular swellings. 
Large suppurating swelling on the forearm (carbuncle ?). 
Dark-red spots on the face, covered with pustules. Large 
inflamed swelling like erysipelas, suppurating like a boil, 
on the forearm. Ulcers, callous, carious, mercurial, fistu- 
lous, and inveterate, with hard, red, shining, everted 
edges, profuse hemorrhages, and inflamed swelling of the 
affected parts. Old ulcers on the legs. Varices of preg- 
nant women especially. Warts on the fingers and arms. 

Subjective, Burning. Burning-itching. Itching as if 
from fleabites, also violent and corrosive. Pricking-itch- 
ing. Shooting. Stinging pains. Smarting. Tingling- 
stitches. 

Aggravation. In the afternoon and evening, from four 
to eight. Before midnight. Periodically. "While lying 
in bed on the side. When touched. From pressure 
from without {e.g.^oi clothing). From wrapping one's 
self up when heated. From wet, warm poultices. Before 
and from suppressed menstruation. On beginning to 
move. After rising from sleep. After eating cabbage, 
cold food, vegetable with husks, oysters, and from drink- 
ing wine [not spirits). After the abuse of mercury. From 
strong odors. 

Amelioration. On getting cool. From uncovering, 



334 DISEASES OF THE SKIN. 

especially the head. From moving (continued). From 
hot food. 

Accompaniments. Comatose state. Great feverishness 
and crossness on waking. Mental irritability. Cerebral 
congestion. Stoppage of the nose. Deafness, and puru- 
lent discharge from the ears. Diphtheritic sore throat, 
and rattling in the throat. Much distress in the stom- 
ach, twisting, crawling, emptiness, burning, heaviness, 
pressure, etc. Frequent belching of wind and bloated 
abdomen. Colic during the desquamation, with costive- 
ness. Extreme costiveness, especially after prolonged 
attacks of acute disease. Scanty, dark-red, hot^ albumin- 
ous urine, with strangury. Dropsy. Frequent yawning. 
Cold feet. 

Magnesia Carbonica. 

Objective. Small boils on the forehead, neck, chest, and 
especially on the thighs. Falling oiF of the hair. En- 
gorged glands. Small, elevated, red, smooth herpes, scal- 
ing off, on the chest, calves of the legs, and about the 
mouth. Hard nodosity on the right temple. l!^odes 
under the skin, in the axillse, above the elbow-joint, and 
in front of the left shoulder. Pimples after scratching. 
Psoriasis or pityriasis palmarum or plantarum. Small 
red spots on the chest. Red spots on the thighs after 
scratching. Scrofulosis. Tubercle on the wrist pouring 
out clear water when pressed. Spreading, corroding 
vesicles on the hands. Clear vesicles after scratching. 
Dryness of the skin. 

Subjective. Burning-pricking of the skin. Violent itch- 
ing. Formication here and there at night in bed. Sting- 
ing. Shooting pain. 

Aggravation, In the evening. At night. When at 
rest. 

Amelioration. In the open air. 

Accompaniment. Shuddering all over at night in bed. 



REMEDIES. 335 

Magnesia Muriatica. 

Objective. Blotches on the face. Boils. Eruption of 
small red papillae. Engorged glands. Pustular eruptions. 
Pimples on the face. Large transparent vesicles on the 
lips, which are cracked. Yellow, earthy complexion. 

Sahjective. Burning after scratching. Formication. 
Itching. Tingling in the skin. 

Aggravation. In the evening and at night. From 
touch. When at rest. In a warm room. 

Amelioration. From pressure from without. 

Magnesia Sulphuriea. 

Objective. Hard blotches or as if from a nettle sting. 
Eed herpes. iTettlerash. 

Subjective. Burning after scratching. Itching. 

Aggravation. In the evening. At night. During 
menstruation. 

Magnetis Arctieus. 

Objective. Eed eruption on the palms of the hands. 
Felons. Herpes. Pimples. Itchlike pustules. Deep 
lentil-sized ulcers. 

Subjective. Burning and burning-tearing. Crawl ing- 
itching on the outer side of the limbs, terminating in sore- 
ness. Itching of the soft parts. Pricking in small spots 
in the soles of the feet. Single stitches. Tingling, and 
lacerating itching. 

Accompaniment. Sensation while moving the jaw as if 
dislocated, with squeezing pain in the maxillary joint. 

Magnetis Australis. 

Objective. Felons. Ingrowing toe-nails, which pene- 
trate the flesh ; the great toe most frequently affected. 
Varices of pregnant women. 

Subjective, Itching stinging-tearing here and there. 



336 DISEASES OF THE SKIN. 

Lancinating, pulsative pains in the roots of the nails as 
if they would suppurate. 

Manganum. 

Objective. Excoriations, soreness, and fissures of the 
bends of the joints. Herpes on the forearm. Pimples 
on the thigh with scurf on the tips. Skin unhealthy ; 
every injury tends to suppurate. Small tubercles on the 
mammae and on the left buttock. Malignant ulcer with a 
blue border following a slight scratch of the finger-nail. 
Small vesicles or deepseated little blotches after scratching. 

Subjective. Burning on rising from bed in the evening, 
w^orse on lying down again. Burning-itching. Violent 
itching. Lancinating pains. Tension and soreness. 

Aggravation. At night. From touch. While lying 
on a feather bed. 

Menispermum Canadense. 

Objective. Chronic herpetic eruptions. Easily bleeding 
pimples on the face. Tertiary syphilis. 
Subjective. Itching all over. 
Aggravation. From warmth. 

Menyanthes. 

Objective. Injuries to nerves (teeth broken in pulling, 
etc.). Pimples on the face. 

Aggravation. In the evening. While lying down. 
During rest. After the abuse of Cinchona. 

Amelioration. From pressure from without. 

Accompaniment. Otorrhoea after measles and scarlet 
fever. 

Mephitis Putorius. 

Objective. Corns. Erysipelas of the ear, with heat, red- 
ness, and blisters. Pimples on the thighs, forehead, face, 
neck, and nates. 

Subjective. Burning. Itching. 



REMEDIES. 337 

Mercurius Acetatus. 

Objective. Pimples breaking when scratched. Ulcers. 
Subjective. Burning like fire when scratched. Itching. 
Edges of ulcers painful. 

Aggravation. When scratched. 

Mercurius Corrosivus. 

Objective. Blisters on the arms and abdomen. Condy- 
lomata, especially with children. Rash. Skin cold with 
sweat. Purple spots. Scorbutic spots over the whole 
body mingled with itchlike eruptions, herpes, and boils. 
Vesicles on the arm extending up to the shoulder. 

Aggravation. In the evening. At night. From contact. 

Mercurius Dulcis. 

Objective. Bleeding from ulcers at night. Erythema 
spreading from the genitals all over. Eczema mercuriale. 
Desquamation from the hands and feet. Skin bright red. 
Blue-red tumors on the neck and body. Phagedenic 
ulcers, with white bases and inflamed edges, in the mouth, 
on the palate, face, genitals, and other parts. 

Mercurius Protiodatus. 

Objective. Chronic and acute glandular affections. 
Scarlatina. Syphilis. 

Aggravation. In the evening. At night. During rest. 
After Lachesis. 

Accompaniment. Loss of voice, hoarseness, can only 
whisper. Fauces ulcerated, bluish-red. 

Mercurius Solubilis. 

Nosological. Adenitis. Buboes. Large boils. Chan- 
cres. Dandruff. Papulous erythema. Simple and phleg- 
monous erysipelas ; erysipelas of syphilitic origin. Ec- 
zema. Felons. Herpes. Intertrigo. Measles. ^N'ettle- 



338 DISEASES OF THE SKIN. 

rash. Pemphigus. Rash. Scabies. Scrofulosis. Scurvy. 
Scarlatina maligna. Small-pox, especially the suppura- 
tive stage. Scald-head. Fungous, chancrous, phagedenic, 
carious, and syphilitic ulcers. Varicellse. 

Ohjective. Blisters full of watery fluid on the inner side 
of the wrist. Little blotches and ulcers on the calves of 
the legs and the abdomen. Desquamation all over, es- 
pecially from the backs of the hands and from the feet. 
Eczema, yellow crusts, and inflamed surroundings after 
scratching, on the face, legs, and the bends of the ex- 
tremities. Vesicular eruption on the lower limbs. Hot, 
small, red elevations, whose tips become white and scaly 
on the left arm, especially on the elbow, and also on the 
nates. Eruption on both thighs, especially on the inner 
side (preceded by heat in the head and dorsa of the feet), 
with a discharge of burning water after scratching. Felons; 
the inflammation extends to the sheaths of tendons and 
the ligaments of joints. Herpes on the right forearm, 
wrist, and hand, the skin peeling ofl:'. Herpes behind the 
thigh ; the epidermis comes olf while scratching. Herpes, 
spots, and suppurating pustules, surrounded by a border 
of large scales (on the forearm and knee), discharging a 
good deal of moisture. Herpes, raised and dry, on the 
limbs, wrist-joints, hands, and between the fingers. Im- 
petiginous and furfuraceous herpes. Intertrigo, worse at 
night, raw and bloody, ^ettlerash changing to red 
spots. Ulcerated incrusted pimples. Pimples on the 
labia. Small pimples, changing to ulcers, with desquama- 
tion during the healing. Pock-shaped eruption above the 
arms. Papulae whose tips are filled w^ith pus on the ex- 
tremities. Small pimples on the inner side of the thighs. 
Deep fissures and rhagades in the hands and fingers, 
looking like incisions, especially on the inside of the 
fingers, sore and bleeding at the base. Pash on the fore- 
arm, measle-shaped, over the whole body, but particularly 
on the chest, thighs, and the lower part of the back. 



I 



REMEDIES. 339 

Small ulcerated sores at the linger-joints. Healthy and 
malignant suppurations. Yellowish scab on the face, dis- 
charging a fetid humor and bleeding when scratched. 
Scabies ; itchlike eruption on the hands, thighs, and ab- 
domen ; eruption, like scabies ; sarcoptica on the lower 
limbs, sexual parts, neck, abdomen, and the bends of the 
knees, a red raised humid eruption ; dry, readily bleed- 
ing itchlike rash ; fat itch, especially in the bends of the 
elbows. Red, shining, hard swelling on the right tibia. 
Suppuration of the glands with shining redness. Skin 
yellow. Red raised hepatic or scorbutic spots. Large, 
red, round, scaly spots on the forearm and wrist. Gray 
flat scurf on a swollen spot. Round stigmata on the 
thighs and legs, changing gradually to ulcerated spots, 
and becoming covered with scurf. Tubercles on the labia. 
Red tubercle on the back of the hand. Tumor on the 
upper part of the left thigh. Fetid putrid ulcers on the 
legs ; ulcers discharging an acrid corrosive ichor, with un- 
equal elevations and depressions; spongy, bluish, readily 
bleeding ulcers ; spreading ulcers ; ulcerated sores on the 
left leg, which begin as pimples ; ulcers on the outer side 
of the left thigh. Small red vesicles at the termination 
of the glans behind the prepuce, changing to ulcers, dis- 
charging yellow-white, strong-smelling matter; the ulcers 
are round, with raw overhanging edges and cheesy lined 
bottoms, and bleed freely. Small transparent vesicles full 
of watery fluid. Vesicles on the forepart and sides of the 
glans, penetrating deeply and spreading, discharging and 
soon disappearing. Yaricellse ; water blotches turn yellow 
and maturate. 

Subjective. Burning. Beating and stinging. Gnaw- 
ing-itching. Itching. Itching changed to burning by 
scratching. Voluptuous itching. Pressive pulsative 
pains. Stinging and stinging-itching as from flea-bites. 
Shooting and tensive pains. 

Aggravation. In the evening. At night. In cold, 



340 DISEASES OF THE SKIN. 

damp weather. "When sitting and walking. In the heat 
of the bed. When scratched. After dropsical swellings. 
Accompanijnents. [N'ervousness and sleeplessness ; the 
child does not sleep at night. Eaging pain in the fore- 
head. Bright red face. Sore throat, tendency to ulcera- 
tion, difficnlt deglutition, and the glands much swollen. 
Great flow of saliva. Some thirst. Acrid diarrhoea, with 
pain in the bowels, and tenesmus ; dysenteric, slimy, blood- 
streaked stools. Soreness and inflammation of the geni- 
tals. Unequal, quick pulse. Cold clammy sweat upon 
the lower limbs and abdomen, especially about midnight. 
General night-sweats. 

Mercurius Vivus.* 

Objective. Adenitis. Small, flat, light-red blotches on 
the sexual parts, abdomen, chest, and the inner side of the 
thighs. Buboes. Exanthemata spreading from the pit 
of the stomach over the abdomen and chest. Erysipelas 
spreading from the back around upon the abdomen. 
Syphilis. Scabies easily bleeding. Swelling of the glands. 
Crusts and pimples on the lips and chin. Red spots cov- 
ered with small vesicles, of the size of a millet-seed, filled 
with purulent lymph. Ulcers, corroding, and easily bleed- 
ing, also syphilitic. 

Subjective. Burning after scratching. Violent itching. 

Aggravation. In the evening. At night. With wo- 
men with leucorrhoea. With children. Before falling 
asleep. From the heat of the bed. After taking cold. 
From cold air. While lying on tbe right side. During 
sweat. From motion. Scratching and touching. 

Amelioratioyi. In the morning. While at rest. 

* We use Merc. sol. and Merc. vlv. indiscriminately, and have regarded 
the pathogenesis as identical ; but as some writers on Materia Medica 
make a distinction, we give separate symptomatologies, as we have found 
them. 



REMEDIES. 341 

(Daphne) Mezereum. 

Objective. Blotches on the right forearm about the size 
of small peas, becoming hard after scratching. Boils on 
the face. Crusty eruptions, white scabs, bleeding when 
touched. Ulcerated eruption like pimples at the finger- 
joints. Engorged glands. Desquamation. Herpes, ooz- 
ing eruption behind the ears. Chronic miliary eruption. 
Single pimples on the thighs. Smooth red pimple on the 
right side of the neck. Red pustules on the outer side of 
the extremities. Rash on the nape of the neck, back, 
and thighs. Red rash sometimes in clusters on the head 
and arms. Red spots like flea-bites on the chest. Moist 
scald-head. Honey-like scab around the mouth. Scrofu- 
losis, with constant excoriation in the throat and at the 
nose. Inflamed, easily bleeding ulcers forming scabs, and 
surrounded by vesicles. Vesicles on the ball of the thumb. 

Subjective. Burning after the spots have disappeared. 
Burning, and stitches from within outward in the hands. 
Tickling-burning. Gnawing as if excoriated. Gnawing- 
itching. Itching. Stinging. Shooting. 

Aggravation. In the evening and at night. When 
touched. After scratching. After Mercury. 

Amelioration. In the open air. 

Accompaniments. J^euralgia intercostalis following 
herpes. 

Millefolium. 

Objective. Condylomata. Fistulous and cancerous 
ulcers. Painless varices of pregnant women. 

Morphium Aceticum. 

Objective. Conical blotches, either red or skin color, 
more easily felt than seen. 

Subjective Itching, particularly on the face, neck, loins, 
and genitals. 



342 DISEASES OF THE SKIN. 

Moschus. 

Objective. Eruption on the ears. Mercurial and vene- 
real herpes. Small pimples in the face. Pimples on the 
dorsum of the foot, between the toes, on the shoulders, 
and the left upper arm, bleeding after scratching. 

/Subjective. Burning after scratching. Intolerable burn- 
ing. Violent griping. Itching. 

Aggravation. On getting cold. 

Amelioration. On getting warm. 

Muriatic Acid. 

Objective. Eed tensive blotches on the right side of the 
neck. Small boils on the back and temples. Blotches on 
the forearms and elbow^s. Scalj^ eruption on the lips, 
backs of the hands, and upper part of the fingers. Her- 
pes. Ephelis. Black pocks and pustules. Pimples on 
the face. Pustules on the forehead and temples. Pound, 
rough, herpetic spots on the inside of the thighs. Scrofu- 
losis. Scurvy. Scarlatina, intense redness breaking out 
all over ; or scanty eruption interspersed by petechiae ; 
purplish skin, and burning heat. Scabies, eruption on 
the lips, of pimples on the face, forehead, and pustules. 
Putrid ulcers on the legs, of fetid odor, and covered with 
scurf. 

Subjective. Burning on the edges of ulcers. Itching- 
stinging. Shooting when touched. Voluptuous and lan- 
cinating tickling. 

Aggravation. In the evening and before midnight. 
When touched ? During motion. In persons who work 
in salt works, and those who inhale or take Muriate of 
magnesia. 

Amelioration. From touching and scratching. 

Accompaniments. Dropsy and cachexia. Coma. Great 
anxiety and restlessness. Patients constantly uncover 
themselves and slide down in the bed. Pulse intermitting 



REMEDIES. 343 

in regular intervals. Severe sore throat, dark bluish-red 
fauces, and aphthse in the mouth. Foul breath. Sigh- 
ing, groaning respiration. Discharge of thin acrid pus 
from the nose, excoriating the nose and lips. 

Nabulus Serpentaria. 

Objective. Pimples on the face about the nose, upper 
lips, and chin. 

Subjective. Itching. Pricking sensation all over. 

Accompaniments. Chilliness not removed by heat. Pro- 
fuse dysenteric diarrhoea. 

Natrum Carbonicnm. 

Objective. Pose-colored blotches in leprous patients. 
White bullge, with red areolae on the index-finger. Blis- 
ters on the toes. Excoriation between the toes. Itch- 
like eruption. Humid eruption around the nose and 
mouth, and on the lips. Freckles on the face. Herpes, 
discharging a purulent fluid. Herpes on the outside of 
the hands. Spreading and suppurating herpes. Yellow 
rings like the remains of herpes. Herpes around the nose 
and mouth, and on the lips. Herpes circinnatus. Lep- 
rosy ; leprous tubercles. Black ulcerated pustules on 
heel ; pustules on the small of the back. Pimples on face 
and lips. White pimples on the nose. Red spot on big 
toe, as if contused. Skin dry, rough, and chapped. Scrof- 
ulosis. Ulcers around the nose and mouth, and on the 
lips. Ulcers on the heels. Red vesicles filled with fluid, 
in the bend of the elbow, and in the fold between the 
genitals and the thigh, and on the chin. Warts on the 
arms and backs of the hands. 

Subjective. Burning in injured parts, with shootings, 
and incisive pains. Itching as from fleas. Tingling. 

Aggravations. After midnight. During a thunder- 
storm. In the sunshine. In the forenoon. From sweats 
and from smoking. From pressure and motion. 



344 DISEASES OF THE SKIN. 

Ameliorations. From cold and uncovering. B}^ touch. 
By \y\ng on the left side. By rubbing and scratching. 
Accomjmniments. Profuse sweat after violent work. 

Natrum Muriaticum. 

Nosological. Acne punctata. Boils. Corns. Eczema. 
Felons. Goitre. Herpes ; herpes circinnatus. Nettle- 
rash. Scrofulosis. Varices. Warts. 

Objective. White blotches on the arms and hands, be- 
coming red after friction. Large red blotches over the 
whole body, especially on the neck. Miliary eruption 
all over. Eczema, raw and inflamed ; scurfy, and dis- 
charging a corrosive fluid, which eats among the hair ; 
worse in the edges of the hair, and on the genitals and 
legs. Herpes about mouth, and on the arms and thighs ; 
humid on the scrotum and thighs. Herpes in the bend 
of the knee, oozing an acrid fluid ; hard crusts, and deep 
cracks. Herpes on the face. Pimples on the face. Round 
herpetic spots on the arms. Red spots (of the size of a 
pin's head) all over. Rash on the legs, and in groups all 
over. Tubercles. Warts on the palms of the hands. 
Small red vesicles on the arms. 

Subjective. Itching. Itching-stinging. Gnawing-itch- 
ing. Shooting pains. 

Aggravations. Periodically. At 10 o'clock a.m. At 
night. When touched. While tying dow^n. After vio- 
lent exercise. From warmth. From working with the 
hands. From Peruvian bark. 

Amelioration. While fasting. In the open air. While 
lying down. While lying on the right side or back. On 
perspiring. 

Natrum Sulpliuricum. 

Objective. Felons at the root of the nail ; deep red 
swelling of the whole phalanx. Watery blisters between 
thumb and index-finger. Vesicles and pimples on the 
face. 



REMEDIES. 345 

Subjective. Violent itching. Shooting and shooting- 
tearing. 

Aggravation. In the morning and evening. Before 
breakfast. When walking. On rising. After exposure 
to damp, in damp cellars, etc. 

Amelioration. By movement. In the open air. 

Accompaniments. Patient looks sickly and pale, feels 
(especially in the morning) heavy, and dull in the head. 
jSTo appetite. Chilly and feverish in the evening. Pains 
easier while out of doors. 

Niccolum Carbonicum. 

Objective. Eruptions on the lips. Herpes on the lips 
and cheeks. Pimples on the inner side of the lower lip. 
Small tubercles after scratching. 

Subjective. Burning-stiDging as from bees. Itching of 
back and small of the back. 

Aggravation. In the evening and at night. 

Amelioration. In the open air. 

Nitrum. 

Objective. Tubercles of the size of a pea on the face. 
Ulcer discharging a bloody corrosive ichor. Vesicles 
filled with yellow serum, bursting when scratched. 

Subjective. Lancination as from needles. Burning. 

Aggravation. In the afternoon and evening and after 
midnight. In the morning. Prom eating veal. Prom 
cold. 

Nitric Acid. 

Nosological. Adenitis. Abscesses. Boils. Carbuncles. 
Chilblains. Corns. Condylomata. Erysipelas. Eczema. 
Ecthyma. Preckles. Herpes. Lichen agrius. JSTettle- 
rash. Prurigo. Psoriasis. Syphilis. Scurvy. Scrofu- 
losis. Scarlatina. Ulcers. Warts. Wens. 

Objective. Phagedenic blisters on the toes. Large 

23 



346 DISEASES OF THE SKIK 

boils on the scapulae, on the nape of the neck, and on the 
thighs and legs. Large blotches, and bleeding after 
scratching. Blackness of the pores of the skin. Chil- 
blains, especially on the big toes and hands. Eczema at 
the edge of the hair, in the internal ear, and on the geni- 
tals. Small flesh-colored excrescences on the glans penis, 
emitting a fetid humor, and bleeding when touched. 
Miliary eruptions. Erysipelas of the face. Herpes in the 
whiskers, between the fingers, and on the alse nasi. Dry 
herpes on the outer side of the thigh. Pimples on the 
face, forehead, and temples. Pustules, with large red 
margins, on the face, covered with scabs. Pimples on the 
glans penis and perineum. Pimple on the inner surface 
of the prepuce, which changes into a flat ulcer, yellow as 
if covered with pus, and red all around it. Scarlatina, 
fine eruption. Skin dry and burning hot. Eeddish- 
brown, copper-colored, and violet spots. Brown and red 
spots on the glans penis, becoming covered with scabs. 
White spots and flaws in the nails. Large blue tubercles 
and spots on the hands. Ulcers with sanious, sanguineous, 
and corrosive suppuration. Ulcers below the right hip. 
Chancrous ulcers on the inner surface of the prepuce and 
in the urethra, with ulcerated edges. Deep ulcer on the 
glans penis, with elevated lead-colored edges. Small 
ulcers on the inner side of the prepuce, secreting fetid 
bloody pus. Small vesicles on the prepuce, breaking and 
becoming covered with a brown scurf. Suppurating 
spreading vesicle at the tip of the thumb. Scurfy vesi- 
cles on the tip of the nose. Wens on the arms. Two 
small warts on the sternum. Small warts on the neck. 

Subjective. Burning itching. Itching, especially in the 
bends of the extremities. Itching mostly at night. Itch- 
ing-pricking. Violent lancinations, as from splinters, all 
night. Prickino; in the face. Pains in old scars on a 
change of weather. Stitches and a sensation as of peck- 
ing. Tensive pains. 



REMEDIES. 347 

Aggravatioyi. In the evening and at night. Before 
breakfast. On waking. In the open air. During per- 
spiration. From contact. On change of weather. From 
drinking milk. After the abuse of mercury. 

Amelioration. In the cold air. On lying down. 

Accompaniments. I^ausea and fever. Dryness of the 
mouth. Diphtheritic sore throat extending into the nose, 
discharging profusely a thin purulent matter. Tonsils 
swollen. Difficult deglutition. Tongue dry and fissured. 
Indistinct speech. Deafness. Intermitting breathing. 

Nuphar Lutea. 

Objective. Eruptions like psoriasis. 
Subjective. Violent itching. 

Nux Juglans. 

Nosological. Adenitis. Acne pustulosa. Boils. Ec- 
zema. Herpes. Lichen. Syphilis. Scrofulosis. Ulcers. 

Objective. Acne pustulosa, small pimples in the face, 
chiefly about the mouth. Little dry blotches, on both 
insteps, especially upon the left (and redness), forming a 
hard scab ; the tubercles leave after a time, and the spot 
is bluish-red, and hard. Large boils on the shoulder, arm, 
and hip, suppurating profusely, and indurating. Large 
boil on the right thigh, hard and red all around, and dis- 
charging a good deal of thick bloodj^ pus. An abrasion 
on the penis after an embrace changes to an ulcer, with 
hard edges, suppurating and forming a scurf. Eczema 
rubrum ; small blisters in the axillae, appearing suddenly 
and emitting a discharge, which colors the linen a green- 
ish-yellow. Old herpes. Lichen ; little tubercles with a 
hard scurf on the instep, with redness and thickened skin. 
Hard swelling on the left cheek. A red spot of the size 
of a dollar, in the centre of which is a little tubercle 
filled with pus, on the right forearm near the bend of the 



348 DISEASES OF THE SKIN, 

elbow. Hard, red, painless spots, of the size of a buck- 
shot, on the right upper arm. Ulcer on the penis. 

Subjective. Violent itching and burning. Pricking- 
itching. Violent itching of old herpes, with great sore- 
ness of the parts. 

Aggravation. In the evening in bed and at night. 
From sweating. From motion (of the arms ?). 

Nux Moschata. 

Objective. Chilblains. Freckles. Pustules with broad 
red borders, on the chin. Blue spots. Dry cool skin. 
Scrofulosis. Old ulcers on the leo;s. 

Aggravation. In cold and damp weather. After a 
•chill. In the open air. While lying on the painful side. 
In women and children. 

Amelioration. In dry weather. From warmth. 

Accojnjmniments. Sleepiness. Tendency to fainting. 

Nux Vomica. 

Objective. Tendency to boils ; small boils on the knee 
stiffening the whole leg ; also on the thigh. Corns. Chil- 
blains, with bleeding rhagades. Eruption on the puden- 
dum. Ecchymosis ; blue spots as if ecchymosed. Mil- 
iary eruption on arms and thighs. White miliary erup- 
tion. Herpes on the inside of the right forearm. Inflam- 
mation and redness around an ulcer on the leg. Measles. 
I^ettlerash. l!^8evi materni, venous capillaries. Pimples 
on the face. Small purulent pimples on the cheeks and 
head. Pash on the knee. Hot suppurating swelling of 
the thumb. Scarlatina. Scrofulosis. Scurvy. Ulcers 
with pale red raised edges. 

Subjective. Burning-pricking like flea-bites. Itching- 
burning. Gnawing-itching. Eruptions usually painful. 
Stinging pains. Skin sensitive as if sore, or feels as if 
asleep. Single long stitches, with soreness. Soreness in 
corns. Violent throbbing in chilblains in suramer. 



REMEDIES. 349 

Aggravation. In the morning. After midnight. In 
dry and in windy weather ; in fine clear weather. On one 
side (usually the right). During the fever. After drink- 
ing. After drugging. From coffee,' wine, alcoholic 
liquors and tohacco. From contact. From motion. From 
lying on the right side and the back. After the measles. 
From cold. In the open air. During a catarrh and from 
suppressed catarrh. On getting cold and after taking 
cold. From cold food. After menstruation. 

Amelioration. In the room. From warmth. From hot 
food. During wet weather. 

Accompaniments. 'Nose stopped. Cough dry in the 
evening and loose in the morning. Small fetid ulcers in 
the mouth and fauces ; difiicult deglutition. Mouth very 
sore and flow of bloody saliva. Gastric derangement. 
Constipation. 

Oleander. 

Objective. Itch-like eruption. Tuberculous eruption on 
the face and forehead. Humid eruption on the head. 
Excoriation and redness. Eczema. Herpes and ulcers on 
the ears and around the ears. Oozing behind the ears. 
Scurfy pimples. Skin gets raw by the rubbing of the 
clothing. Vesicles on the thighs. 

Subjective. Gnaw^ing-itching while undressing. The 
skin is sensitive and sore. 

Accompaniments. Absence of mind. Fainting. 

Oleum Animale. 

Objective. Excoriation in the bend of the hip. Pimples 
in the bend of the elbow. Oozing pimples on the nose. 
Papulse on the cheek and under the skin of the occiput. 
Vesicles like scabious pimples. Eed watery vesicles after 
scratching. 

Subjective. Burning. Biting-itching relieved by rub- 
bing. Itching. Gnawing-itching. Itching like flea- 



350 DISEASES OF THE SKIN. 

bites disappearing suddenly, or changing to burning and 
heat. 

Oleum Jecoris Morrhuse. 

Objective. Eruption of small red spots. Herpes. Scald- 
head. Skin red all over. Scrofulous ulcers discharging 
a large quantity of mucus. 

^Subjective. Itching. 

Aggravation. In bed. At night. 

Opium. 

Objective. Red blotches after scratching. Small round 
colorless elevations. Chilblains on the fingers and toes. 
Pustules. The whole body looks red. Skin of a pale 
blue, especially on the genitals. Small red spots. Blue 
spots. Scarlatina. 

Subjective. Burning pain. Itching and creeping. Itch- 
ing from the chest upward, especially on the nose. Smart- 
ing-itching after sweating. Stinging-itching. 

Aggravation. On getting heated. At night. After a 
fright. 

Accompaniynents. The brain seems affected. Delirium: 
a soporous condition with snoring. Convulsions. Obsti- 
nate constipation ; faeces are small, hard, dry, black balls. 
Painlessness with all complaints. Vomiting. After 
belladonna when it does not relieve. 

Origanum Vulgare. 

Objective. Vividly red efilorescence and spots on the 
abdomen and legs. 

Osmium. 

Objective. Scarlet red rash on the thighs and ankles. 

Oxalic Acid. 

Objective. Eruption in circular patches, with redness. 



REMEDIES, 351 

Pimples on the nose. Skin mottled in circular patches. 
Warts. 

Subjective. Itching. Smarting and soreness. 

Aggirivation. Periodically. On the left side. 

Pseonia. 

Objective. A running fetid ulcer on the verge of the 
anus. 

Subjective. Burning-smarting, with itching. Pricking, 
itching, stinging. 

Accompaniments. Ulcers and rhagades very painful and 
sensitive in the rectum. 

Palladium. 

Objective. Pimples on the face, nose, and behind the 
ears. Warts on the knuckles. 

Subjective. Itching. Itching-crawling as from fleas. 

Paris ftuadrifolia. 

Objective. Felons. Herpes about the mouth. Puru- 
lent pimples under the nose and on the chin. Pimples on 
the forehead. Sanguineous pimples on the lower jaw. 
Red spots on the cheeks and lower jaw. Red curved 
streak above the umbilicus. 

Subjective. Pain as of excoriation. Violent itching. 
Subcutaneous tingling. 

Paulinia Pinnata. 

Objective. Red spots on the face. Suppuration behind 
the head. Ulcers on the lower limbs. 

Subjective. Itching in the hands and fingers, behind the 
head, and in the ulcers. 

Pediculus Capitis. 

Objective. White blotches above the left breast. The 
face red and bloated. The skin on the left thigh peels off. 
Small pimples, black in the centre, on the left knee and 



352 DISEASES OF THE SKIN. 

right side of neck. Small red miliary pimples on the 
calves and thighs. Whitish pimples on the forehead. 
Pimples on the face and chin. Vesicular pimples, with a 
black point in the centre. Miliary pimples on a red base 
on the nape of the neck. Red pimples on the hands. Red 
inflamed pimples on the temples, shoulders and arms. Red 
inflamed pimples, with a black point in the middle of a 
white centre, on the back. 

Subjective. Itching. Pricking. 

Petroleum. 

Nosological. Boils. Corns. Chilblains. Erysipelas. 
Eczema. Herpes. Intertrigo. ^N'ettlerash. Psoriasis. 
Scrofulosis. Scald-head. Ulcers. Warts. 

Objective. Blisters on the heels. Blotches on the calves 
of both legs. Eruption between the toes. Reddish erup- 
tion on the glans penis. Moist eczema on the genitals. 
Tuberculous eruption on the calves of the legs Erysipelas 
on the arms. Chapped rough tips of the fingers : chapped 
hands, with rhagades. Herpes on the malleolus, on the 
chest, nape of neck, perineum and kuee. Intertrigo be- 
hind the ears. Small pimples between the scrotum and 
the thigh. Pimples on the abdomen and face. Pustules. 
Bleeding rhagades, with thick crusts in the hands and 
fingers. Scurf at the edge of the anus. Large red spot 
on the left knee. The skin is unhealthy ; every inj ury 
tends to suppurate. Excoriated running spots on the 
skin. Yellow spots on the arms. Brown spots on the 
wrists. Tumor in the axilla. Ulcers, with proud flesh. 
Obstinate superficial ulcers on the toes, with elevated 
margins, red bases, and much oozing. 

Subjective. Burning. Itching, with chills. Stitching 
and cutting pains. Smarting. Shooting pains. Titillating. 

Aggravation. In the morning. In the open air. 



REMEDIES. 353 

Phosphorus. 

Nosological. Lymphatic abscesses. Boils. Chilblains. 
Corns. Erysipelas. Eczema. Fungus heematodes. Gan- 
grene. Herpes. Hsematophilia. Measles. I^ettlerash. 
Petechise. Psoriasis. Scrofulosis. Scarlatina. Scald- 
head. Ulcers. Small-pox. 

Objective. Abscesses and indurations of the mammse. 
Blotches on the edges of the tibia. Hard blotches here 
and there. Brownish and bluish-red blotchlike spots. 
Blisters on the heels. Black blood oozes from an old 
cicatrix. Boils on the abdomen. Small boils on the nape 
of the neck, chest, and thighs. Copious bleeding from 
small wounds. Hard blisters. Cracked skin of the 
finger-joints, as if by cold. Desquamation. Scaly herpes 
on the arms and knees. Scabby herpes on the face. Dry 
and furfuraceous herpes. Fatal inflammation and gan- 
grene. Pimples on the face, in the bend of the elbow, 
and in the axillae. Psoriasis on the knees, elbows, legs, 
and eyebrows. Repercussion of eruptions. Excoriated 
spots, with rhagades on the skin. Yellow spots on the 
chest. Small spots, like freckles, on the lower part of the 
tibia. Blue-red spots, like petechise, on legs and feet. 
Sanguineous spots. Brown spots on the body. Round 
herpetic spots all over. Red streaks after scratching. 
Hepatic spots. Small-pox, the pock containing blood. 
Suddenly formed red inflamed tumor between the calf of 
the leg and the bend of the knee. Ulcers on the prepuce. 
Fistulous ulcers, with callous margins and fetid colorless 
pus. Large vesicles all over. Vesicles between the fingers 
and in the bend of the knee ; vesicles around the joints of 
the extremities. 

Subjective. Burning, compelling change of position. 
Burning-itching Burning when scratched. Itching. 
Gnawing-itching. Smarting. Shooting pain. Piercing 
pain. Stinging-burning. 



k 



364 DISEASES OF THE SKIN. 

Aggravation. In the morning. In the evening in bed. 
From evening till midnight. In lean, slender persons. 
After the measles and scarlatina. From salt and cam- 
phor. From warm food. From strong smells. When 
lying on the left side. When the weather changes. In the 
wind. 

Amelioration. When \ymg on the right side. From 
rubbing. After sleep. After eating cold things, and 
drinking cold water. 

Accompaniments. Hectic fever. Painless diarrhoea. 
Hfemorrhagic diathesis. Great sensitiveness of all the 
senses, and yet apathy. Bronchitis and pneumonia ; tight- 
ness across the chest, with dry, tight cough ; i^attling in 
the throat. Muriatic Acid is often useful after Phosphorus. 

Phosphoric Acid. 

Nosological. Boils. Corns. Chilblains. Condylomata. 
Erysipelas. Herpes. Intertrigo. Pemphigus. Psoriasis. 
Small-pox. Scrofulosis. Scarlatina. Warts and wens. 

Objective. Boils in the axillae, on the shoulders (es- 
pecially the right shoulder) and nates. Deep, hard bullae 
on the ball of the thumb. Blisters on the balls of the 
toes. Crusts on the face. Erysipelatous inflammations 
and suppressed erysipelas. Dry and humid herpes ; herpes 
on the face and chin. Pimples on the knees and calves of 
the legs, becoming confluent, and forming easily bleeding 
ulcers. Red pimples of the size of a pin's head, with a 
whitish elevation in the centre, on and between the fingers. 
Ped pimples on the neck, chest, back, scrotum, and back 
of the penis. Smooth red pimples, with a red areola on 
the forearm and neck. Large pimples on the face and 
chin. Itch-like pustules on the nates and the balls of the 
toes. Rash all over; clusters of red, fine rash. Reper- 
cussion of scarlatina. Scarlet exanthems. Red spots 
on the backs of the hands and limbs. Redness of the 
whole body, with single large red spots on the shoulders, 



REMEDIES. 355 

and red streaks from the hips to the umbilicus and on the 
patellae. Sraall-pox ; the pocks don't fill with pus, but de- 
generate into large blisters, bursting and discharging 
Avater, and leaving excoriated places. Inveterate or flat 
ulcers, with dirty pus or indented bases. Ulcers on the 
legs. Vesicles in various parts. "Warts between the 
metacarpal bones. 

Subjective. Anaesthesia. Burning after scratching. 
Burning-pricking here and there. Burning-stinging. 
Grawling-tingling under the skin. Itching. Stitching 
pressure. Smarting pain in wounds, even of the bones. 
Skin feels sore all over. 

Aggravation. During repose. From suppressed ernp- 
tions. From loss of animal fluids. After sweating. 

Accompaniments. Diarrhoea. Typhoid condition. Fear 
of death. Great restlessness. 

Phytolacca Decandra. 

Objective. Abscesses of various kinds, especially of the 
mammae. Boils, especially on the back and behind the 
ears. Drawing in of cicatrices. Cancers. Eruption on 
the upper lip. Eruption like lichen. Excoriation and 
ulceration of the nipples. Lupus (which variety?). 
Psoriasis. Pityriasis. Suppuration of painless tumors. 
Spots of the size of a lentil on the chest. Scald-head. 
Tardy appearance of the eruption in scarlet fever. Syphil- 
itic eruptions. Ulcers and scaly eruptions on the face. 
Ulcers on the legs. 

Subjective. Itching. Pressing and shooting. 

Accompaniments. Delirium. Diphtheritic sore throat. 
Acrid discharge from the nose, excoriating the nose and 
the upper lip. Suppression of the lochia. 

Plantago Major. 

Objective. Eruption on the forehead. Small, red, rough, 
scaly erj^thematous patches of the size of a pea, on the 



356 DISEASES OF THE SKIN. 

face, especially on the left side. Dry scaly eruptiou on 
the lower lip. Erysipelas of the mammse. Red papulae 
around the nose. Hard, white, flattened, isolated papulae 
on the inside of the thighs ; some of the papulae have a 
red point in the centre. Papulae which exude a yellowish 
tumor and form a crust. Eedness, swelling, and vesicles 
on the hands and face. Incised wounds become highly 
inflamed, erysipelatous, and even gangrenous. 

Subjective. Burning after rubbing, and when scratched. 
Violent itching. Pricking-stinging pains. Tensive sen- 
sation. 

Aggravation. When rubbed and scratched. 

Platina. 

Objective. Ulcers on the fingers and toes. 

Subjective. Pain, as if excoriated. Itching, or burning- 
pricking. Tingling-gnawing pains. Shooting pains. 

Aggravation. In the evening. At rest. While lying 
down. In the open air. 

Plumbum Aceticum. 

Objective. Blue color of the body and limbs. Burns 
become inflamed, with swelling, and vesicles full of yellow 
ichor ; often become gangrenous. Swollen red spots on 
the fingers. Dark-brown spots all over. The skin is dry. 
Suppuration ceases. Vesicles on the forehead and nose. 
Stab wounds become inflamed, suppurate, and heal rapidly. 

Subjective. Burning and smarting as from fire. 

Accompaniments. Constipation. Delirium. Dryness 
of the mouth. Swelling of the submaxillary and sub- 
lingual glands. 

Plumbum Metallicum. 

Objective. Bed-sores. Excoriations. Erysipelas on the 
nose. Gangrene. Dark-brown spots. Serous infiltration 
of the skin. Skin rough, dry, scaly, yellowish, pale, clay- 



REMEDIES. 357 

colored, and dingy. Small wounds inflame and suppurate 
easily. Ulcers. 

Subjective. Burning in ulcers. Skin sensitive to touch, 
especially on the arms and eyelids. 

Aggravation. At night. 

Amelioration, By rubbing. 

Podophyllum. 

Objective. Skin sallow, moist, and hot. Flesh soft. 
Accomimniments. Great debility with children. Pain- 
less diarrhoea of chalky stools. 

Polygonum Hydropiper. 

Objective. Superficial ulcers and sores on the upper 
extremities. 

Polygonum Punctatum. 

Objective. Chronic erysipelas, sprains, bruises, etc. 
Scarlet eruption in a band about three inches wide around 
the waist, like zo7ia. Old, indolent ulcers. 

Subjective. Burning and itching. 

Psorinum. 

Objective. Dry or moist, fetid eruptions on the head. 
Humid eruption on the face. Suppressed eruptions. Both 
inveterate and recent cases of itch ; in the bends of the 
elbows and around the wrists ; repeated outbreaks of 
single pustules after the main eruption seems gone. Herpes. 
Psoriasis. Pimples on the face. Pustules on the forehead, 
chin, and chest. IN^ettlerash ; frequent attacks, w^ith fine 
vesicles on the top, which dry up and peel off in fine 
scales. Scald-head. Ulcers on the face and legs ; old 
ulcers with fetid pus. 

Aggravation. In the evening and before midnight. In 
the open air. After exertion. After suppressed itch. 



358 DISEASES OF THE SKIN. 

Pulsatilla. 

Nosological. Boils. Chilblains. Erysipelas. Herpes 
zona. Measles. K'ettlerasli. Scrofulosis. Ulcers. Varices. 
Conoid varicellae. 

Objective. Chilblains, with bluish-red swelling and 
rhagades. Phlegmonous erysipelas of the face, with 
swelling and desquamation. Repercussion of measles. 
Reel nodosities on the cheek-bones. Pimples from the 
scalp to the middle of the back. Pimples on tlie side of 
the neck. Pimples on the neck below the chin. Pimples 
(or blisters ?) on the leg, discharging a watery fluid. Pim- 
ples or blisters between the Angers, containing water. 
Small pustules in the groins. The redness around an ulcer 
becomes hard and shining. Red, elevated spot on the 
dorsum of the foot. Red, hot spots like nettlerash. 
Swelling of the limbs. Small swellings under the skin 
above the elbow-joints. Ulcers bleed easily. Inflamed 
and putrid ulcers, with shining hardness and* easy bleed- 
ing. Callous ulcers. Varices, especially of pregnant 
women. Highly inflamed varices. 

Subjective. Burning and biting pain. Biting itching. 
Gnawing. Heat and throbbing. Itching. Itching-sting- 
ing as from flea-bites. Burning as from a hot coal above 
an ulcer. Stino-ino- and numbness. Shootino-. Stino-ino;- 
smarting pain in, Avith itching all around, an ulcer. 

Aggravation. In the evening. Before midnight. Earl}^ 
in the morning in bed. In the afternoon. Before and 
during menstruation, and from suppressed menstruation. 
In women. During pregnancy. In lying in women. 
In the sunshine. During a catarrh. From beino; frost- 
bitten. Before the fever. During the sweat. From 
touching, rubbing, and scratching. When getting warm 
in bed, or while walking. After contusions. After the 
loss of animal fluids. After moving. While lying on the 
left side, and on the painless side. On waking. After 



REMEDIES. 359 

eating fat, pork, ices, fruits, pastry, warm food, bread and 
butter, butter, pancakes, and buckwheat. After taking 
Quinine, Mercury, Chamomile, and Sulphur. After using 
tobacco. 

Amelioration. At noon. In the open and cold air. 
From slow motion. From cold food and cold in general. 
From washins;. After risino- from the bed. 

Accompaniments. Hardness of hearing after measles. 
Inflammation of the eyes and photophobia. Thick yellow 
coryza. Dry mouth without thirst. Gastric derange- 
ment. Rumbling in the bowels at night, followed by 
diarrhoea. Delayed and scanty menses. Loose, rattling 
cough, with thick yellow expectoration. Mild, yielding, 
tearful disposition. 

Pulsatilla Nuttalliana. 

(American Pulsatilla.) 

Ohjective. Erythema of the scalp. Eruption of a dark- 
blue or red color on the back, legs, and ankles. Eruption 
standing out from the skin and looking like measles. 
Face hot and red from 4 p.m. till bedtime. Kettlerash ; 
nodules of irregular form, round, elongated, and annular, 
with a red base, turning white on scratching. 

Subjective. Violent itching, especially intolerable at 
night in bed. 

Ranunculus Acris. 

Objective. Gangrene. Feet red, hot, and covered with 
blisters here and there. Obstinate ulcers. 

Ranunculus Flammula. 

Objective. Gangrene. 

Ranunculus Repens. 

Objective. Blisters and gangrenous places on the feet. 



360 DISEASES OF THE SKIN. 

Ranunculus Bulbosus. 

Objective. Blisters between the fingers, emitting a thin, 
yellow fluid. Blisters on the lower limbs. Horny and 
other excrescences. Herpes all over. Pemphigus. Pity- 
riasis palmarum et plautaris ; psoriasis. Flat corrosive 
ulcers, with sharp edges. Dark-blue vesicles emitting 
dark-yellow lymph, and becoming covered with a horny 
herpetic scurf. Vesicles on the lower limbs. 

Suljjective. Burning. Intolerable burning-itching. 
Itching. Lancinating changing to itching. Pricking 
terminating in itching. Stinging. 

Aggravation. In the moruing and evening. From a 
change of temperature. From contact and motion. For 
drunkards. On entering a cold place. 

Ranunculus Sceleratus. 

Objective. Obstinate ulcers. Vesicles emitting a thin, 
acrid, yellowish ichor. 

Subjective. Burning. Biting. Boring. Gnawing. 
Itching. Tingling. 

Aggravation. In the evening till midnight. From 
touch. 

Ratanhia. 

Objective. Suppurating boil on the sole of the right 
foot. Small red spots on the abdomen, over the stomach. 
Small granular swelling on the occiput. Large tubercle 
on the right hip. Vesicles on the upper lip. 

Subjective. Burning. Itching. 

Rheum. 

Objective, Pash on the forehead and arms, with itching. 

Rhododendron. 

Objective. Small red blotches on the inner surface of 
the thigh. Corns. Dark-red spots on the inner surface 



REMEDIES. 361 

^ of the right thigh. Red swellings of the joints. Vesicles 
on the lips. 

Subjective. Gnawing. Itching. Shooting-stitches (in 
corns). 

Aggravation. In the morning. During wet, cold 
stormy weather. 

Ehus Radicans. 

Objective. Lymphatic abscesses. Small watery blisters 
on the backs of the hands. Hard, red blotches on the 
extremities, face, eyelids, and neck, w^ith raised, swollen 
appearance of the surrounding parts. Boils on the face. 
Red inflamed tuberculoid elevations of the skin. Ery- 
sipelas of the face. Eczema. Hard, red eruptions. Erup- 
tion of small granules across the forehead. Heat and 
redness of the face. Inflammation of gunshot wounds. 
Circumscribed redness on the ball of the thumb. Watery 
pimples bleeding and scabbing. Pimples and pustules on 
the face. Lymphatic swellings. Vesicles on the wrists 
and hands, on the scrotum, and on the face. Vesicular 
eruption between the fingers of the right hand. 

Subjective. Burning. Itching. Tickling. Tingling. 
Pricking. 

Aggravation. In w^arm weather. 

« Ehus Toxicodendron. 

WL Nosological. Acne rosacea. Carbuncles. Corns. Chil- 
^R)lains. Vesicular erysipelas. Eczema. Felons. Herpes. 
^^^ONA. Intertrigo. Measles. J^ettlerash. Petechipe. Pity- 
^B'iasis palmaris et plantaris. Pemphigus. Malignant pus- 
tule. Papulous erythema. Rhagades. Small-pox. Scar- 
latina and scarlatina maligna. Scald-head. Scrofulosis. 
Varicella. Warts. Wens. 

Objective. Acne rosacea on the mouth and chin. In- 
flamed blotch on the middle joint of the ring finger. Blis- 
ters break, leaving red (sore) places. Chilblains, with 
blotches after scratching. Humid eruption on the scro- 

24 



362 DISEASES OF THE SKm. 

turn, with swelling of the prepuce and glans penis. Ec- 
zema on the inner surface of the thighs after vaccination ; 
eczema, with thick moist crusts on the face and genitals. 
Chronic suppurating eruption on the face. Eruption on 
the scrotum, prepuce, eyelids, arms, and hands, with 
swelling of the parts, and sm.aU yellow vesicles, which be- 
come confluent and moist ; the larger vesicles suppurate, 
being surrounded by a red areola, while the smaller ones 
scale off. Felons with erysipelatous redness. Herpes 
alternating with pains in the chest and dysenteric stools ; 
herpes, moist and dry ; herpes zona {-Rhus will usually 
cure without the supervention of neuralgia). Intertrigo 
of infants between the thighs. Suppressed measles and 
scarlatina. I^ettlerash, the skin is red and swollen. Pus- 
tules on the arms, hands, and feet. Pustules on the 
hands and forearms, which break and emit clear moisture. 
Black pustules, with a high grade of inflammation, 
rapidly spreading. Pemphigus, each bullae surrounded by 
a red, inflamed base. Itchlike pimples on the inner side 
of the carpus, and on the cheeks. Hard pimples on the 
hands. Pimples on the right side of the chest. Fine 
rash, with moisture, on the scrotum where it touches the 
thigh. Scarlatina, dark ei^uption. Scald-head ; a bright- 
red edge of inflammation surrounds every portion of the 
eruption ; thick crusts, and bloody ichor, with much fetor. 
Small-pox, livid eruption which shrinks in. Skin hard 
and tough like leather, with much desquamation. Scurfs 
all over. Spots near the frsenulum. Red spots on the 
inner surface of the prepuce. Red, hot spots on the right 
hip. Black spots. Red, hot spots and streaks on the 
inner side of both knees, with small vesicles. Dark-brown 
marks or spots on the inside of the ankles. Petechial 
•spots. Red spots, size of a lentil, with small vesicles in 
the centre. Tubercles on the knees, hips, and shoulders. 
Tubercles here and there. Small vesicular tubercles, like 
insect-bites, on the joints of the hands and feet, especially 



REMEDIES. 363 

on the outside of the ankles. Glandular swellings and 
indurations. Ulcers from small vesicles, with violent 
fever. Vesicles around the mouth and nose. Small vesi- 
cles with red skin all over. Small vesicles between the 
fingers and on the right hand, with swelling. Vesicles 
filled wdth a yellow fluid on the face. Vesicles on the 
knees, hips, shoulders, and glans penis. Confluent vesicles 
containing milky or watery fluid, peeling ofl* in three days. 
Varicella in spreading blisters. Warts all over, especially 
on the hands and fingers. Wounds become inflamed and 
covered with small vesicles. 

Subjective, Burning pain. Burning and smarting. Itch- 
ing-burning pain sometimes passing into a slow stitch. 
Itching, especially of hairy parts. Stinging-corrosive 
itching. Sore excoriated feeling, and fine stitches from 
within outward. Stitching in the scurf on an ulcer early 
in the morning on waking. Smarting as from salt, at 
night, w^aking the patient frequently from sleep ; also, the 
same during the day, worse in the open air. Tingling. 

Aggravation. In the morning. In the evening. After 
midnight. In the spring. In the autumn. In the month 
of July. In lying-in women. After getting wet and 
cold, especially while perspiring. In cold air, from cold 
food, and cold in general. From cold bathing. After 
drinking. From exercise, from being heated. From 
denudation. From w^et poultices. During perspiration. 
Before falling asleep. From lying on the painful side, 
and w^hile lying down. From a change in the weather, 
and during wet weather. On rising. After contusions 
and sprains. During the small-pox. 

Amelioration. After the perspiration. When walking 
and getting warm, and from warmth in general. From 
warm food. In dry weather. From wrapping up. 

Accompaniments. Debility and tired feeling ; free per- 
spiration after slight exertion. Weeping and moaning. 
Restlessness at night. Much thirst. Typhoid symptoms. 



364 DISEASES OF THE SKIN. 

Eyes appear swimming, as if the person were intoxicated. 
Bleeding from the nose at night ; ichorous or thick yellow 
discharge from the nose. Tongue red, smooth, dry, and 
cracked. Swelling and suppuration of the parotid glands 
which discharge ichor ; Jlrst the left, and then the right side 
affected. Sore throat, with swelling of the glands. Acrid 
diarrhoea. Rheumatism of the joints, w^orse during rest. 
(Edema of the genitals. 

Rhus Venenata. 

Objective. Boils on the forehead, neck, right thigh, and 
arms. Phlegmonous erysipelas ; vesicular erysipelas of 
the face, with much swelling. Fine vesicular eruption on 
the forearms, wrists, backs of hands, between the fingers, 
and on the scrotum and ankles. Fissures in the ends of 
the fingers, w^hich bleed easily. Face very red and swollen, 
and covered with vesicles. Scrotum swollen, deep red, 
and covered with vesicles. Watery vesicles on the palms 
of the hands, ankles, feet, and toes. Groups of watery 
vesicles on the fingers. Vesicles on the upper lip and ears. 

Subjective. Burning. Itching. 

Aggravation. From warmth. Before a rainstorm. 

Rhus Vernix.^ 

Objective. Hard, elevated blotches, with watery vesicles 
on them, on the hands. Blotches on the palms of the 
hands, deep under the skin. Red, elevated callosities. 
Eczema. Phlyctsenoidal eruptions. Red spots on the 
face. Groups of watery vesicles on the fingers, and be- 
hind the ears. 

Subjective. Itching. 

Aggravation. After midnight, toward morning. 

"^ Some claim that Rhus vernix and Rhus rod. are identical in their 
action ; but we give distinct pathogeneses as ^ye have found them. — Ed. 



REMEDIES. 365 

Rumex Crispus. 

Objective. Eruptions from wearing flannel. Vesicular 
eruptions. Psoric itch. Dense rash of small red pimples 
on the legs. 

Subjective. Itching. Pricking-itching, and stinging- 
itching. 

Aggravation, When uncovered (undressing) and ex- 
posed to the air. After scratching. 

Ruta Graveolens. 

Objective. Acne rosacea. Contusions and injuries ot 
the bones. Erysipelatous inflammation in the forehead, 
with swelling ; erysipelas of the hands. Intertrigo from 
walking, or riding on horseback. Pimples on the lips. 
Inflamed ulcers. Fistulous ulcers on the legs. Warts. 

Subjective. Gna wing-itchi ng. 

Aggravation. From uncooked food. While lying on 
the painful side. After injuries of the bones. 

Sabadilla. 

Objective. White blister, with a red edge, on the right 
knee. Desquamation about the nails. Erysipelatous in- 
flammation on the right tibia. Marbled and herpetic 
appearance of the face. Small pimples on both forearms. 
Red spots of the size of a pin's head on the abdomen, 
chest, and hands. Small red spots on both hands. Yellow 
spots on the fingers. Red spots on the left arm. Red 
spots, and streaks or bands in difi^erent parts of the body. 

Subjective. Burning. Burning-creeping. Burning- 
itching. Hot sensation in the arms. Pricking, especially 
in the fingers and toes. Shooting pains. Tingling. 

Aggravation. In the forenoon. Before midnight. Peri- 
odically. During the full moon. From cold, cold air, and 
getting cold. During rest. 

Amelioration. While moving. On getting warm. When 
wrapped up. 



366 DISEASES OF THE SKIN. 

Sabina. 

ObJecHve. Acne punctata. Boils on the buttock. Inter- 
trigo and ulceration. Large spot on the right thigh, ex- 
coriated after scratching and oozing water, which in three 
days forms a scurf, leaving a raw, bleeding surface when 
scratched off; the skin is finally left tender, red, and 
cicatrized ; there are similar spots on the left ear. Ulcers 
on the buttocks. Ulcers on the inner side of the left leg, 
with impure bases under a loose scurf ; small areola in the 
evening, which is redder in the morning. Sarcomatous 
ulcers on the tibia. 

Subjective. Burning. Violent itching. Stinging. 
Shooting. 

Aggravation. At night. In women. During preg- 
nancy. From touch. On getting warm in bed. In a 
warm room. 

Amelioration. In the open air. 

Sanguinaria. 

Objective. Carbuncles. Dryness of the skin. Scaly 
eruptions. Fungoid growths. ISTettl crash. Pustules on 
the fingers and other parts. Indolent ulcers, with callous 
edges and ichorous discharge. Ulcerations at the roots 
of the nails. "VYarts. 

Subjective. Heat. Itching. Pain in the tips of the 
fingers, as from ulceration. Burning of the soles of the 
feet and palms of the hands at night. 

Aggravation. In the morning. In the evening. During 
motion. 

Sapo Domesticus. 

Objective. This remedy is almost absolutely specifically 
homoeopathic to burns. Use externally as a salve, and 
internally in a dilution. 

Sarracenia Purpurea. 

Objective. Psoriasis. Small-pox. 



REMEDIES. 367 

Sarsaparilla. 

Objective. Blotches, as from nettles. Miliary eruption 
on the forehead. Herpes prseputialis. Herpes on the left 
leg, upper lip, and hands. Kettlerash. Red, dry pimples. 
Deep rhagades on the fingers and thumbs. Red herpetic 
spots on the calves of the legs. Skin shrivelled. Rough, 
pale-red spots on the face. Thick scabs on the face. 
Scabby eruption on the nose and face, like milk crust. Big 
hot swellings. Purulent ulcers. Vesicles on the fingers 
and chin. Warts. 

Subjective. Burning. Burning-itching, with chilliness. 
Itching. Pain, as if from subcutaneous ulceration in the 
tips of the fingers. 

Aggravation. After the use of Mercury. After gon- 
orrhoea suppressed by Mercury. 

Accompaniment. Haemorrhoids. 

Secale Cornutum. 

Objective. Boils. Bloody blisters on the extremities, 
becoming gangrenous. Carbuncles. Extensive ecchymoses. 
Miliary eruption on the chest and nape of the neck. Gan- 
grena senilis ; gangrene of the extremities. Black gan- 
grenous pustules. Petechiae. Spots on the feet like flea- 
bites. Skin dry and brittle, peels off all over, is shrivelled 
in places, and insensible and bloodless. Emphysematous 
swellings. Watery, soft, painful swelling on the w^rist- 
joint. General desquamation in scarlatina. Tumors on 
the neck discharging yellow pus. 

Subjective. Burning. Drawing and creeping increasing 
to spasms. Eormication in the fingers and all over. 
Tingling. 

Aggravation. From warmth and w^arm applications. 
During motion. During pregnancy. 

Accompaniments. Watery discharge from the nose, and 
yet it is stopped. Bloody and albuminous urine. Con- 
traction of the limbs. Profuse sweats. 



368 DISEASES OF THE SKIN. 

Selenium. 

Objective. Miliary eruption on the forearm. Painful 
hangnails. Prolonged oozing from scratched parts. Scabi- 
ous pimples on the hands. Pimples on the buttocks and 
thighs, near the scrotum. Small pimples on the back, and 
hands, and below the ear. Red rash all over. Flat ulcers 
on the legs. 

Subjective. Biting in the skin. Tingling-itching. 

Aggravation. After sleep. In the sunshine. From a 
draft of air. From tea, lemonade, and wine. 

Sempervivum Tectorum, 

Objective. Burns. Corns. Erysipelas. Herpes circin- 
natus and '' shingles." Stings of insects. Ulcers on and 
under the tongue. Warts. 

Senega. 

Objective. Bites of venomous or enraged creatures. 
Scarlatina. Vesicles at the commissures of the lips. 

Subjective. Burning. Itching. 

Accompaniments. Dyspnoea. Rattling in the chest, 
and loose but feeble cough- Hydrothorax. 

Sepia. 

Nosological. Adenitis. Acne punctata. Boils. Corns. 
Dandruff. Eczema marginatum. Ichthyosis. Pustular 
erysipelas ? Felons. Herpes. Herpes circinnatus. Scir- 
rhns ; glandular indurations. Intertrigo, ^ettlerash. 
Prurigo. Psoriasis and pityriasis palmaris and plan- 
taris. Pemphigus. Scabies. Scurvy. Scrofulosis. Scald- 
head. Tinea tonsurans. Ulcers. Warts. 

Objective. Red lentil-sized blotches on the hands, emit- 
ting a humor when pricked. Blotches on the face and 
feet. Blisters on the heels becoming ulcers. Large blis- 
ters on both upper arms. Boils on the thighs. Corns on 



REMEDIES. 369 

the feet. Dandruff in circles like " ringworm." Desqua- 
mation of cuticle from the hands and feet. Humid erup- 
tion on the inner labia, with swelling. Eczema on the 
face, genitals, legs, and bends of the extremities. Hot 
glans, with pale-red eruption. Eed little induration on 
the inner side of the prepuce and glans. Scaly herpes on 
the hands. Moist and scaly herpes. Herpes, and yellow 
color about the mouth. Herpes on the neck and behind 
the ears. Humid herpes in the axillae, and on the backs 
of the hands. Humidity and intertrigo in the bends of 
the joints. Erysipelatous inflammation of the face from 
a carious tooth. Deformed nails. I^ettlerash, chronic 
form, especially on the face, arms, and thorax ; breaks out 
during a walk in the cold air, and disappears in the warm 
room. Pimples on the legs, and in the bends of the joints. 
Small red pimples. Pustules on the arms. Scurf at each 
elbow. Herpetic scurf on the face. Dry scabies ; itchlike 
eruptions. Brown spots on the chest, on the elbow, sur- 
rounded by herpetic skin. Claret-colored spots on the 
neck and under the chin. Red herpetic spots on both 
sides of the neck. Pedness and red rash all over. Swell- 
ing in the wrist, elbow, and tarsal joints, and of the whole 
body. Glandular and lymphatic swellings. Scald-head, 
the eruption is very moist and discharges puslike matter. 
Livid spots on pregnant or nervous women. Yellow spots. 
Yellow streak like a saddle on the nose and cheeks. 
Herpetic scurf on the face. Inflammatory swelling of the 
face, with yellow, scurfy pimples. Ped tip on the glans. 
Indolent ulcers. Ulcers in the joints, on the heels, instep, 
and tips of the toes. Eruption of vesicles, like pemphigus. 
Vesicles in the face, and on the hands and feet. Varicella ; 
the pocks ulcerate and wont heal. Warts on the hands 
and feet. Scabies, after the abuse of Sulphur and in 
women. 

Subjective. Burning. Itching changing to burning. 
Violent itching. Lancinating. Soreness in joints. Shoot- 
ing. Excessive sensibility. 



370 DISEASES OF THE SKIN, 

Aggravation. In the forenoon. In the evening, and at 
night. In the morning ? In cold and dry weather. In 
the snowy air. During menstruation and pregnancy. 
While nursing the child. During and after the sweat. 
During the fever. Before falling asleep. After sexual 
excesses and the loss of animal fluids. After washing. 
After riding on horseback and in a carriage. After bee- 
stings. After milk and pork. After taking cold in the 
head.. From contact. In women, especially. 

Amelioration. In the morning. Lying on the painful 
side. After running. After smoking. After cold food 
and drink. 

Accompaniments. Alternate chill and heat. Fever. 
Dyspnoea. The child jerks its head to and fro. 

Silicea. 

Nosological. Abscesses. Adenitis. Boils. Corns. Car- 
buncles. Dandruff. Ecthyma. Eczema. Felons. Fungus 
hsematodes. Ganglions. Herpes. Intertrigo. Scirrhous 
indurations. Ingrowing toenails. Suppurations. Scar- 
latina. Scrofulosis. Scald-head. Scrofulous, mercurial, 
scorbutic, cancerous, fistulous, phagedenic, fungoid, and 
malignant ulcers. Varicella. Warts. 

Objective. Boils on the calves of the legs, thighs, arms, 
nape of the neck, and chin. Rose-colored blotches. Hard 
bullae on the lower arm, on a red base, of the size of a pea. 
Hands and arms chapped. Small crack in the index 
finger, which becomes inflamed, and on the sore spot a 
blister is formed. Caries. Carbuncles, during the ulcera- 
tion. Silex clears wounds and sores of decayed masses, 
and promotes healthy granulations. Scabious eruption on 
the tips of the fingers. Eruption all over, like varicella. 
Felons ; deepseated inflammation, the bone is afiected ; and 
there is proud flesh. Ganglion on the back of the hand, 
between the third and fourth metatarsal bones. Herpes 
on the chin. Pimples at the mons veneris, and on the 



REMEDIES. 371 

nape of the neck. Pustules on the forehead, occiput, and 
vertebral column, forming ulcers. Eash on the sternum. 
The skin is unhealthy and ulcerates easily. Humid spots 
on the scrotum. Scurfy, elevated spot above the fold 
near the os coccygis. Red spots on the glans penis and 
right tibia. Scarlatina. Suppuration of the glands. 
Putrid ulcers, with proud flesh and corroding sanies. 
Purulent ulcer on the back. Ulcers on the lips, backs of 
hands, thighs, and ankles. Purulent vesicles on the 
fingers. Aifections following vaccination. Warts on the 
arms and hands. Old scars open and become painful. 
Ulceration of the great toe. 

Subjective. Boring-shooting. Burning-stinging. Itch- 
ing and burning. Itching and biting, after lying down, 
not relieved by scratching. A kind of crawling, shooting 
pain. Smarting. Stinging-aching in a spot where an 
ulcer was. Stitches in corns jerking the feet. The skin 
is very sensitive. 

Aggravation. At night. When the weather changes. 
In the open air. From uncovering. Prom getting cold 
or wet, especially after having cold feet. While lying on 
the painful side. After drinking, especially wine. From 
pressure from without. With children. 

Accom'paniments. Fever worse at night. Sleep disturbed 
by earache. Child wakes and throws its arms about and 
screams ; puts its hands behind the ears ; otitis interna ; 
likes to be covered and wrapped up warmly. Children 
with large bellies, w^eak ankles, and much sweat about 
the heat. 

Amelioration, From warmth, wrapping up, and in the 
warm room. 

Solanum Mammosum. 

Objective, Vesicular erysipelas. Herpes. 

Spigelia. 

Objective. Wart-shaped excrescences on the second toe, 



372 DISEASES OF THE SKTN. 

leaving a white cicatrix. Large pimples on the neck. 
Hard, reddish pimples on a spot on the palm of the left 
hand. Pimples on the middle finger of the right hand, 
which discharge yellow pus when pressed. Small hlack 
pimples on the upper lip. Skin pale and wrinkled. 

Subjective. Burning and itching followed by an erup- 
'tion. Itching. Pain as if excoriated. Painful sensi- 
tiveness. 

Aggravation. In the afternoon. After washing. From 
contact. After exposure to cold. 

Spongia. 

Objective. Adenitis. Large blisters on the right lower 
arm. Red blotches. Goitre (also. Iodine). Herpes. 
Large pimples below the chin. Spot of the size of a 
silver dollar between the scapulae, densely covered with 
pimples. Red spots on the skin. Red, hot spot covered 
with miliary vesicles. 

Subjective. Burning. Stinging-itching after scratching. 
Creeping in a small spot. Itching. Gnawing-itching in 
a small spot, as though a flea were walking on it. Itching 
in other parts while scratching a particular spot. Itch- 
ing-shooting. Continuous itching stitch, as if from a fine 
needle. Painful stitching. Titillating. 

Aggravation. From the use of tobacco, especially 
smoking. In the warm room. 

Squilla (Scilla) Maritima. 

Objective. Eruption like pustulous scabies. Cold gan- 
grene. Intertrigo in the bends of the joints. Pimples on 
the neck. Red pimples on the back, the tips filled with 
pus ; the next day the pimples are covered with a crust. 
Small red spots all over, but especially on the hands, chest, 
and feet. Scirrhous tumors. Yesicles on the hands. 

Subjective. Burning-itching, especially after scratching. 
Stinging-itching. 



REMEDIES. 373 

Aggravation. In the morning. From exercise. From 
uncovering. 

Amelioration. While wrapped up and lying in bed. 

Stannum. 

Objective. Blotch on the left side of the anus. Chil- 
blains on the hands. Flaws in the nails. Pimples on the 
face. Round red spot on the front of the neck, with a 
white pimple in the centre. Small red spots on the backs 
of the hands. Round yellow spots on the legs. Vesicles 
at the orifice of the urethra. 

Subjective. Itching, burning, pricking. Gnawing-itch- 
ing while undressing. Itching-shooting. 

Aggravation. At rest, and from motion ? 

Staphysagria. 

Nosological. Adenitis. Boils. Cancerous affections. 
Caries. Eczema. Herpes. Lichen. Scald-head. Scurvy. 
Scabies. Scrofulosis. Ulcers. Sycosis. 

Objective. Blotches all around the anus. Herpetic 
eruptions. Chronic miliary eruptions on the chest. Scabi- 
ous eruptions. Eczema ; yellow acrid moisture oozes 
from under the crusts ; upon the surface denuded of these, 
new vesicles at once form and soon burst, forming a crust 
as before. Dry crusty herpes in the bends of the joints. 
Herpes on the hands, thighs, and legs. Inflammations. 
Glandular indurations. Lichen on the face and behind 
the ears, dry, pimpl}^ eruption, and rough skin. Oozing 
nodosities. Red and white pimples on both thighs and 
legs, whose tips contain pus. Pimples on the leg and 
nape of the neck. Small red pimples, close together, on 
the lower ribs. Rash on the chest becoming red. Chronic 
miliary rash. Skin unhealthy and easily suppurates. 
Red swelling on the forearm, with a pustule in the centre. 
Sycosis ; white humid excrescences behind the corona 
glandis, and upon it. Scald-head ; yellow, moist, offensive 



374 DISEASES OF THE SKIN. 

scales. Ulcers covered with a thin crust, and discharging 
yellow water. Vesicles on the inner surface of the right 
tibia. Wounds from sharp instruments (for such injuries 
Staph, is second only to Calend.). 

Subjective. Burning when scratched. Wandering 
creeping-crawling. Darting and jerking. Itching-burn- 
ing. Itching-burning-stinging, as from nettles. Smarting- 
itching. Itching, sharp stitches. Lancinating. Deeply 
penetrating sharp stitches. Scratching in one place re- 
lieves the itching, which appears in another. Smarting. 
Tearing-shooting. Tingling as if from insects. Ulcera- 
tive pain when touched. 

Aggravation. In the morning and evening. After 
sexual excesses and masturbation. From loss of animal 
fluids. After rubbing and contact. After fasting. After 
tobacco and Mercury. When warm. After cuts. 

Accompaniments. Chilly creeping in affected parts. 
Chilliness in the epigastrium. E'octurnal convulsions. 

Stillingia Sylvatica. 

Objective. Elephantiasis. Vesicular eruption on the 
ear. Pustular eruption on the arm. Chronic eruptions. 
Lepra. Scrofulosis. Syphilis. Ulcers. 

Subjective. Itching. 

Aggravation. Upon exposure to cold. 

Stramonium. 

Objective. Blisters. Large boils, boils on the feet. Ery- 
sipelas of one side of the face. Eruptions, with swelling 
and inflammation. Felons, when the pain is unbearable, 
driving the patient to despair ; Stram. hastens benign 
suppuration. Measles. Inflamed pustules on the right 
leg emitting an acrid water. Red rash on the chest and 
back, pale in the morning, redder and more frequent in the 
afternoon ; scaling off after some days. Skin on the left 



REMEDIES. 375 

knee is copper-colored. Small swelling on the tibia, with 
a red point. Malignant scarlatina. 

Subjective. Creeping. Itching. Tingling. 

Aggravation. Early in the morning after w^aking. In 
the afternoon. After sleep. From contact. During 
perspiration. After moving. 

Accompaniments. Delirium ; visions of rats and mice, 
etc., at which the patient starts and tries to hide. Difficult 
deglutition, as from spasm of the oesophagus. 

Strontiana Carbonica. 

Objective. Pimples in different parts. 
Subjective. Burning-itching. Tension of the skin. 
Aggravation. In the evening and at night. From cold 
and cold air. From uncovering. From w^ashing. 

Sulphur. 

Nosological. Adenitis. Acne punctata. Boils. Chil- 
blains. Corns. Crusta lactea et serpiginosa. Caries. 
Dandruff*. Eczema. Ichthyosis. Erysipelas. Erythema. 
Ecthyma. Felons. Herpes. Intertrigo. Freckles. 
Glandular indurations. Lichen. Measles. ^N'ettlerash. 
Moles. Porrigo favosa. Pemphigus. Psoriasis and 
pityriasis palmarum or plantaris. Prurigo. Rhagades. 
Scurvy. Scarlatina. Small- pox. Tinea, humid and dr}^ 
Ulcers. Varicella. Varicose veins. Warts. 

Objective. Blotches on the neck, as if from the heat. 
Blotches all over, especially on the hands and feet. Pro- 
fuse bleeding from ulcers ; bleeding after itching. Red 
blotches on the face. Crusta serpiginosa on the face, 
worse on the cheeks and around the eyes ; hands and arms 
cold, bluish, and swollen. Chapped skin, especially hands. 
Chilblains, with redness, swelling, and suppuration ; thick 
red chilblains on the fingers. Inflamed corns. Dry, scaly 
eruption. Fiery scarlet eruption all over. Scurfy erup- 
tion, consisting of small vesicles with red areola. Eczema 



876 DISEASES OF THE SKIN. 

around the margin of the hairy scalp from ear to ear 
posteriorly. Eczema under the toes. Eczema of the ex- 
tremities, marginatum, and impetiginoides. Eczema, with 
crusts, pimples, and an easily bleeding surface ; genitals, 
legs, and bends of the extremities specially affected. Ery- 
thema nodosum et papulatum. Erysipelas in very herpetic 
subjects ; phlegmonous erysipelas, especially of the leg and 
foot. Papulous eruptions. Felons, when Apis seems indi- 
cated and proves insufficient. Red spotted herpes, with 
vesicles ; humid herpes. Herpes miliaris, phlyctsenoides, 
circinatus et squamosus. Crustaceous herpes. Herpes 
on the nape of the neck and ankles. Moist herpes, with, 
small wbite vesicles in groups, forming scabs over the 
whole face, but chiefly above the nose and around the eyes. 
Reappearance of repelled herpes. Greenish-yellow herpes. 
Intertrio^o of infants between thio;hs and behind ears. 
IN'odosities on the fingers. Flaws in the nails. ^NTettle- 
rash, chronic cases, after Pidsat. White pimples between 
the toes. Pimples on the inner part of the thighs. Pim- 
ples all around the pudendum. Red pimples on the nose, 
chin, forearms and arms. Prepuce fissured and hangs 
far over the glans penis. Porrigo favosa ; pustules on the 
head, forming thick, yellow, adherent crusts. Psoriasis 
inveterata ; dry, scaly eruption on the dorsum of both 
hands. Pimples on the face. Bluish spots on the legs. 
Skin rough and scaly. Scald-head ; the eruption spreads 
all over the body. Suppurations. Hard, hot swelling on 
the left upper arm. Swelling and suppuration of the 
glands. Thick yellow-gray scurfs. Small-pox, suppura- 
tive stage. Red spots on the arms after washing them 
with soap. Hepatic spots on the back and chest ; yellow 
and brown spots. Scarlatina, rapidly growing red all 
over ; eruption at first bright, soon growing purple, and 
very hot. Purulent tumors on the buttocks. Fistulous 
ulcers, with elevated edges surrounded by pimples, red or 
blue areola ; bleed easily and profusely, with sanious, 



REMEDIES. 377 

thick, fetid, yellow pias and proud flesh. Vesicles on the 
pudendum. Suppurating vesicles in the bend of the 
elbow. Vesicular eruption on the back of the hands. 
Ulcerated vesicles on the soles of the feet. Varicella, the 
pocks don't heal and ulcerate. Varicose veins on the 
legs. Horny warts. 

Subjective. Burning after scratching. Formication. 
Itching. Burning-itching. Itching-stinging. Pricking 
after getting warm in bed. Stinging and tearing. Sting- 
ing-itching. Smarting after scratching. Stitches and 
feeling as though pressed by the shoe, in corns. Volup- 
tuous tingling-itching, with burning and soreness after 
scratching. 

Aggravation. In the evening. After midnight. Peri- 
odically. Before menstruation, and from suppressed 
menstruation. From wet poultices and washing. After 
sleep. Prom exertion. During sweat, and from sup- 
pressed perspiration. From contact. On getting warm 
in bed. After the use of milk and Mercury. 

Accompaniments. Fever, burning heat of the skin. 
Arthritic rheumatism. Catarrh during and chronic 
cough after measles. Chronic acrid diarrhoea, with and 
after measles and scarlatina. Hardness of hearing, and 
chronic discharge from the ears after measles. Vomiting. 
Sopor and tendency to metastasis to the brain. Burning 
heat in the soles of the feet, the patient puts them out of 
bed to keep them cool. Children very sensitive and averse 
to cold water. Sleep broken and in short naps at night. 

Sulphuric Acid. 

Objective. Boils. Bedsores. Bruises, contusions, 
injuries by falling, knocking, etc. Chilblains. Corns. 
Excoriation, with ulceration like gangrene ; very easy ex- 
coriation while walking or riding on horseback. Small 
dark-red elevations on the back of the hand, covered with 
scabs, beneath which are pus. Erythema nodosum. Pur- 

25 



378 DISEASES OF THE SKIN. 

purea. Scabies, single pustules appear each spring. Bluish 
spots on the forearm, as if ecchymosed. Red spots on the 
tibia, with blotches in the ceatre, swelling after scratching. 
Suppurating sore as if mortified. Warts. Ulcers. 

Subjective. Burning-itching. Corrosive sensation in an 
ulcer. Itching. Gnawing. Tearing and shooting. 

Aggravation. In the forenoon. In the evening. In 
the open air. After violent bleeding. After drinking 
coffee. 

Sumbul. 

Objective. Acne punctata, black pores on the face. 
Porrigo, in infants, on the left side of the scalp; spots 
round and dry, slightly raised, and reddened at the edges, 
with branlike scales in the centre. Skin cold, white, 
shrunken, and dry as if washed in acrid water. Miliary 
spots on the back, right shoulder-blade and hip. Reddish 
spots on the forehead, chin, and cheeks, containing either 
water, or thick, white, curdy matter. 

Subjective. Itching. 

Syphilinum.* 

Objective. Adenitis, leaving almond-shaped kernels (of 
varying sizes), abundant about the neck. Eruption all 
over the body, not elevated, but can be felt by the hand 
on the skin. Eruptions discharging pus. Eruptions of 
pustules discharging an ichor, and leaving pockmarks of 
a lardaceous coppery hue when healed. Eruption resem- 
bling small-pox. Eruption covering the eyes and making 
the patient blind. Eruption discharging pus. Herpes in 
the mouth and fauces. Rawness between the toes. Swell- 
ing of the glands. Dull^ reddish, copper-colored spots all 
over. The skin is bluish. Sore one and a half inches in 
diameter on the middle of the occipital bone, covered with 

* For this pathogenesis we are indebted to Samuel Swan, M.D., of 
New York City. 



REMEDIES. 379 

a thick, yellow-white scab. Soreness of the left side of 
the nose, inside and out scabbed over. Sores on the lips 
and chin, especially on the left side, scabbing over. 

Subjective. Burning in chancre. Whole body ex- 
tremely cold. Terrible itching, but extreme sensitiveness 
which prevents scratching. Pain in the right groin, fol- 
lowed by glandular swellings. Pricking, as though punc- 
tured with pins, in chancre. 

Aggravations. From 2, 3, or 4 p.m. until daybreak. 
From the warmth of the bed. 

Accompaniments. Gradual rigidity of all joints after 
the eruption ; flexors seem contracted. Peculiar disa- 
greeable odor from the body. Headache and great debil- 
ity. E'ight-sweats between the shoulders and down to the 
waist. Breath fetid. Tongue red and thick ; two deep 
cracks running lengthwise in it ; one each side of the me- 
dian line. Suifusion 2iMdifull feeling in the face, throat and 
head, with innumerable small enlarged cervical glands. 

Tabacum. 

Objective. Red eruption on the back. Pimples on the 
chest and fingers. Pustules on the nape of the neck and 
upper limbs. Miliary rash on both cheeks. Red spots 
on the face and right shoulder. Increased turgescence of 
the skin, which is yellow, hot, and dry. Vesicles contain- 
ing a yellow serum, and surrounded by a red areola. 

Subjective. Burning when touched. Itching as from 
flea-bites. 

Aggravation. At night, and on the left side. 

Aceompaniment. Slight perspiration. 

(Leontodon) Taraxacum. 

Objective. ;N"ettlerash. Pimples on the cheeks, wings 
of the nose, corners of the mouth, and hands. Vesicles 
on the dorsum of the risrht foot. 

Subjective. Itching. Stinging itching. 



330 DISEASES OF THE SKIN. 

Aggravation, While resting. From fat food. 
Amelioration. From moving and walking. 

Tartarus Emeticus. 

Nosological. Boils. Ecthyma. Erysipelas. Scabies. 
Small-pox. Ulcers. Varicella. 

Objective. Miliary eruption on the nape of the neck 
and on the arms. Furunculo pustulous eruptions. Pim- 
ples on the arms and wrists. Pustular eruptions all over. 
Pustules on the genitals. Pustules seem filled with shot. 
Small red pustules. Large, round, full pustules, with red 
areola. Pustules drying up and leaving deeply penetrat- 
ing malignant ulcers (in small-pox and varicella). Pale, 
livid, depressed, black pustules, containing a bloody or 
black fluid. Suppurating rash on the occiput, chest, and 
arms. Rash all over, with heat of the skin. Scabies ; 
itchlike eruption, especially on the wrist and upper arm. 
Small red spots on the hands, like flea-bites. Dark-yellow 
spots on the fingers. Skin pale, cold, and clammy, es- 
pecially about the head and extremities. Erysipelatous 
swellings. Erysipelatous ulcers. Gangrenous ulcers. 
Pound and inveterate ulcers. Vesicles and blotches filled 
with pus like varicella or variola. 

Subjective. Itching. Skin insensible. 

Aggravation. In the evening. From warmth. 

Accompaniments. Headache. Violent fever. Thirst. 
Profuse sweats. Dyspnoea. 

Taxus Baccata. 

Objective. Phlegmonous erysipelas. Miliary eruption 
on the left forearm. Eruptions with symptoms of gan- 
grene. Dry herpes in the external angle of the left eye, 
red at the base. Petechiae. Hard, round, red pimples on 
the back of the right forearm about the wrist. Broad 
flat pimples on both arms. Large, slightly elevated pim- 
ples (like red spots) on both forearms. Red-brown spot 



REMEDIES. 381 

on the nose, with a pimple in its centre, speedily scaling 
off. 

Subjective. Burning itching. Tickling. 

Aggravation. In the evening. At night. 

Accompaniment. Profuse sweat. 

Tellurium. 

Objective. Herpes circinatus (" ring- worm ") all over; 
red elevated rings, distinctly marked, especially on the 
lower extremities. Psoriasis. Sweat in spots, causing 
itching of the same. 

Terebinthina. 

Objective. Sudden, erythematous, papulous, and vesic- 
ular eruptions. Scarlet exanthem on the affected knee, 
spreading over the whole body. Herpes. Inflammation 
and redness of the skin, with large blisters on hands and 
feet, and finally on the thighs. 

Subjective. Itching. Soreness of the skin. 

Teucrium Marum Verum. 

Objective. Ingrowing and ulcerated toe-nails. Psoriasis 
on the back of the index finger of the right hand ; the 
skin is hard and hypertrophied, and covered with thick 
whitish scales. 

Theridion Curassavicum. 

Objective. Is'odosities on various parts, especially the 
buttocks. Scrofulosis. 

Subjective. Violent itching. 

Thuja Occidentalls. 

Nosological. Acne punctata. Adenitis. Boils. Corns. 
Chilblains. Condylomata. Erysipelas. Eczema. Herpes 
and herpes zona. Ichthyosis. Pemphigus. Small-pox. 
Scabies. Varicella. Ulcers. Warts. 

Objective. Red blotches at the anus like fig-warts. Boil 



382 DISEASES OF THE SKIN. 

near the small of the back, with large red borders. White 
blotches on the calves of the legs. Erysipelas of the 
finger. Eczema on the genitals. Red excrescences on the 
inner surface of the prepuce, like fig-warts ; smooth red 
excrescences behind the glans penis under the prepuce. 
Herpes on the elbow. White, scaly, dry, mealy herpes. 
E,ed nodosities on the temples. White nodosities on the 
toes. I^ails, crippled, discolored, and crumbling. Pim- 
ples on the lips and chin; on the right buttock; on thighs 
and knees. Small red pimples on the neck close together. 
Humid pimples on the scrotum. Pimples on the knee 
like varicella ; also the same with the tips full of pus, 
and surrounded by a red areola, especially also on the 
thighs, elbows, and forearms. Small-pox on the inner 
surface of the prepuce, humid and suppurating, and de- 
pressed in the centre. Purulent pimples like small-pox. 
Pemphigus, especially when painful. Scabious eruption 
on the face. Brown spot under the arms like n^evi ma- 
terrii. Cold, painless, glandular swellings. Red spot on 
the dorsum of the foot. Red spot on the prepuce chang- 
ing to an ulcer, with scurf. Brown or red mottled spots 
on the skin. Skin blue over the clavicles. Ulcers on the 
thighs. Flat ulcer, with blue- white bottom. Whitish 
ulcer on the inner surface of the labium majorum. Round, 
flat, unclean ulcer on the corona glandis. Small flat vesi- 
cle on the glans penis. Bad efiPects from vaccination. 
Warts on the hands. Wartlike easil}^ bleeding growth 
on the right labium, after a fall. 

Subjective. Burning. Creeping sensation. Itching. 
Itching changed to burning and soreness by rubbing. 
Lancinating and burning (in corns). Stinging burning 
when rubbed. Stinging and burning while urinating (in 
condylomata). 

Aggravation. In the afternoon at 3 p.m. In the night, 
especially after midnight, at 3 a m. During menstruation. 
From cold and uncovering. From washing, wet, and wet 



REMEDIES, 383 

poultices. After overheating and in the heat of the bed. 
After eating fat meat, onions, acids, and sweets. After 
drinking beer, wine, and tea. After using and abusing 
Tobacco, Sulphur, and Mercury. In the open air. On 
the left side. 

Amelioration. From drawing up the limb. 

Triosteum Perfoliatum. 

Objective. ITettlerash, vesicular eruption on the fore- 
head over the left eye, on the middle of the chest, and on 
the right arm. 

Subjective. Violent itching. 

Accompaniment. Gastric derangement. 

Urtica Urens. 

Objective. Fever blisters on the lips. Red raised 
blotches (" hives ") on the hands and lingers. Burns ; 
most indicated when the injuries are confined to the skin; 
the parts are swollen and oedematous, and covered with 
small, confluent, transparent vesicles filled with serum. 
Erythema. Vesicular (facial) erysipelas ; lips, nose, and 
ears swollen ; eyelids closed and oedematous, then small 
transparent vesicles filled with serum appear, and finally 
there is desquamation. Goitre? ITettlerash attending 
or preceding rheumatism. Uticaria nodosa on the hands 
and fingers. 

Subjective. Violent itching. Burning itching as if the 
skin were scorched. Stinging itching. 

Aggravations. Every year at the same time. In lying- 
in women. Alternately with rheumatic pains. 

Accompaniments. Rheumatism attending, following or 
alternating with nettlerash. Complaints after the retro- 
cession of urticaria and other eruptions. 

Valeriana Officinalis. 

Objective. White blisters on the cheek. Eruption first 



384 DISEASES OF THE SKIN. 

red and confluent, then small, white, hard, elevated pim- 
ples on the arm and chest. 

Aggravutlon. While resting. 

Amelioration. While moving and walking. 

Variolinum or Variolin. 

Objective. Small-pox. Is almost specific. "We have 
had prime results from the 200th and 1000th potencies, in 
which Drs. Swan, Blake, and others concur with us. Von 
Kaczkowski uses the 3d and 6th. Raue says : " Varioli- 
num makes the progress of the disease much milder ; re- 
moves quickly all dangerous symptoms ; changes imper- 
fect pustules into regular ones, which soon afterwards dry 
up ; promotes suppuration on the third day, exsiccation 
on the fifth, sixth, ninth days, and prevents all scars. This 
is the unanimous testimony of ten physicians who have 
used it in, difiTerent epidemics." Special Pathol.^ p. 605. 

Veratrum Album. 

Nosological. Corns. Herpes. Measles, ^ettlerash. 
Scarlatina. Scrofulosis. Varicella. Scabies. 

Objective. Red blotches on the backs of the fingers 
between second and third joints. Corns, especially on the 
left foot. Desquamation. Eruption like varicella. Mil- 
iary eruptions. Copper-red eruption around mouth and 
chin. Dry herpes on the hands. Measles ; tardy erup- 
tion ; burniug heat, alternating with cold extremities. 
Pimples on the right labium just before menstruation. 
Pimples in clusters here and there. Pustular eruption 
about the mouth like crusta lactea. Eedness and rash- 
like pimples, which can be easily felt on the chest and 
neck after rubbing the parts. Rash, with blotches after 
scratching. Thick rash on the face. Scabies ; itchlike 
eruption. Skin bluish- whitish and shrivelled. Scarla- 
tina ; tardy eruption ; buruing heat alternating with cold 
extremities. 



REMEDIES. 385 

Subjective. Burning after scratching. Heat and ting- 
ling all over. Itching and corrosive itching. Sore pain. 
Severe stitch {in corns while sitting). 

Aggravation. In the morning. After midnight. Dur- 
ing hot summers. Before menstruation. In the heat. 
W hile sweating. After drinking. After scratching. 

Accompaniments. Delirium. Drowsiness. Apathy. 
Restlessness. Frequent, weak, intermitting pulse. Hsem- 
orrhages without relief. 

Veratrum Viride. 

Objective. Erythema and vesication of the skin. 
Eruptions with very high fever. Phlegmonous and ve- 
sicular erysipelas. Measles, scarlatina and small. pox, in 
the inflammatory stage. Face cold, pale, and blue ; nose 
pinched and blue, etc. Skin cold and moist, or hot and 
burning. 

Subjective. Pricking and tingling. 

Verbena Hastata. 

Objective. Bruises : (Verbena) promotes the absorption 
of eifused blood, and allays the attendant pain. Rhus 
poisoning.* 

Vinca Minor. 

Objective. Humid, bad-smelling eruption on the head, 
with much vermin ; the same on the face and behind the 
ears. Hair entangled as in plica polonica. Pimples on 
the face, which is bloated. Scabs on the scalp and face. 

Subjective. Burning after scratching. Corrosive itching. 

Aggravation. At night. 

* We have found speedy and complete cures to result from the use of 
Ehus tox.™ (in a large number of cases), even when vesication and 
ulceration had set in. But if typhoidal symptoms supervene, other 
remedies will be necessary. 



386 DISEASES OF THE SKIN. 

Viola Tricolor. 

Objective, Crusta lactea ; scabs on the face and running 
of a yellow viscid pus. Impetigo figurata ; pustular erup- 
tion on the upper lip and chin ; a thick, yellow, friable, 
semi-transparent crust covers the parts. Rash all over. 
Skin of the face thick and hard. Dry scabs all over, dis- 
charging yellow water. 

Subjective. Burning and itching. Burning stitches (in 
the scalp). Lancinating gnawing. Stinging biting. Cor- 
rosive stinging. Tension in the skin. 

Aggravation. At night. 

Vipera Redi. 

Objective. Boils. Gangrenous blisters around the 
wound. Erysipelas. Reddish-black lentil-sized spots all 
over. Yellow spots on the red swollen limb. Gangrenous 
ulcers on the bitten parts, with swelling and lameness. 

Vipera Torva. 

Objective. Black blisters, with suppuration. Blisters, 
with red areola. Black crust on the wound. Erysipelas, 
wath vomiting. Erysipelas on the inner surface of the 
arm and on the side. Gangrenous swelling. Shining 
swelling, with deeply penetrating suppuration, and cov- 
ered with blue blisters. Large ulcers penetrating to the 
bone on the leg. 

Zincum Metallicum. 

Objective. Small boils on the arms. Blotch on the little 
toe. Chilblains on the hand, with much swelling. Erup- 
tion and redness on the chin. Erysipelas of the foot 
(tendo Achillis). Ganglia. Herpes on the back and 
hands, l^euralgia following herpes zoster. Small pim- 
ples on both shoulders, like boils. Small red pimples on 



► 



REMEDIES. 387 

the scrotum, each formed around a hair. Red pimples on 
the chest and face. Rash in the bends of the knees and 
elbows. Rhagades and chapped hands, especially the left. 
Spots and little scabs on the back. Small, red, round 
spots on the hands and fingers. Red spots on the legs, 
with scurf Rough herpetic spots on the hands. Scarla- 
tina. Herpetic ulcers. Varices of the legs. 

Subjective. Burning. Formication and tingling between 
the skin and. the flesh. Itching. Violent lancinations. 
Great sensitiveness to cold. Stinging. 

Aggravation. In the evening. After the use and abuse 
of wine. Chamomile, and ^ux vomica. 

Accompaniments. Threatening paralysis of the brain ; 
complete unconsciousness. Grating of the teeth. Jerking 
of the whole body, or twitching of single muscles or 
limbs. Shrill screams, with altered voice ; can't speak 
any more. Breath short and quick, but no rattling. 
Occiput hot, forehead cold and covered with a cold sweat. 
Limbs icy cold, and whole body cool and bluish-red all 
over. Pulse threadlike. Involuntary discharges from 
the bladder and rectum. 

Zincum Oxydatum. 

Objective. Boil above the genitals, first red and then 
blue, with hard areola and yellow dirty pus, leaving for 
some time a hard red areola. 



APPENDIX. 



Elaps Corallinus. 

Objective. Boils on the arm. Dark complexion. Des- 
quamation from the tips of the fingers, soles of feet and 
heels. Crusty eruption on the ears and cheeks. Pimples 
on the legs. Pimples full of serum. Suppurating pirn- 



388 DISEASES OF THE SKIN. 

pies on the hands, fingers, and wrists. Eed pimples on 
the finger tips. Miliary pimples on a red base at the 
corner of the nose. White pimples on the inside of the 
thighs, inflamed during the day. Fhlyctsense, especially 
on the extremities. Redness and rawness under the nails. 
Swelling and blue-red spots on the right arm and leg. 
Red spot on the knee-pan. Yellow spots on the hands 
and fingers. Furfuraceous tetters on the scalp. Red 
tetter from the corner of the right nostril to the cheek. 
Tetter in the axillae. Vesicular eruption on the feet. 

Subjective. Sensation as of excoriation. Itching. 
Pricking soreness. 

Hura Brasiliensis. 

Objective. Large blotches on the legs and right shoul- 
der. Miliary eruption on the face and in the joints. Ve- 
sicular eruption all over, with red spots. Red and pale 
mottled face. Pimples all over ; small, containing a fluid, 
on the right knee ; large, formed around the roots of hairs 
on the legs ; on the right cheek ; red, on the shoulders 
and hips, leaving red spots behind , in the bend of the 
left elbow ; on the forehead ; small red, with white point 
in the centre, on the left cheek. Large red spots. on the 
left cheek, forearm, and back of hand. Small red round 
spot on the tibia, with a red pimple in the centre. 

Subjective. Itching and burning. Sensation as if the 
skin of the face were stretched too much. 

Hydrocotyle Asiatica.^ 

Objective. Arabise elephantiasis. Small red dots on 
the eyelids and hands. Small red dots on the neck cov- 
ered with whitish scales. Erythema of the face. Ery- 
thema and rash on the face, chest, back, arms, and thighs. 
Pustular eruption on the face. Erysipelatous redness. 

* This pathogenesis was communicated to us by Dr. Swan, of New 
York City. 



i 



REMEDIES. 389 

Vesicular eruption on the abdomen. Lupus exedens : 
abundant discharge of pus from varicose ulcers and old 
wounds, and in lupus, ^ails misshapen and flattened out. 
Leprosy. Purple papulae thickly set. Pemphigus. Small 
pustules on the chest. Pustules like small-pox. Redness 
of the vulva. The skin becomes softer and thinner and 
smoother, the epidermis peeling off in scales or crusts. 
The skin of the back becomes thickened. Leprous spots 
become brawny. Leprous spots, with white points on 
them. Yellow spots on the legs. Bright ear-shaped spot 
on the sole of the right foot, which easily indents. Disk- 
like spots, with very friable scaly borders. Tubercles on 
the hands and fingers. Suppurating ulcers on the nates 
and below the ankle. 

Subjective. Universal heat, and sometimes insupport- 
able itching. Very severe itching. Heat and shootings. 

Accompaniments. Swelling of the glands and cellular 
tissue of the left groin, and around the left ankle. Pro- 
fuse perspiration. 

Kali Brom. 

Objective. Acne on the face, neck, and shoulders. Crops 
of small boils on the face and trunk. Echthymatous 
eruptions. Erythematous swellings, especially of the 
nose. Moist eruptions. Syphilitic psoriasis. Papular rash 
on the face. Skin blue, cold, spotted, corrugated. 

Subjective. Heat and itching. 



I 



REPERTORY. 



NOSOLOGICAL. 



Abscesses. Aeon. Anath. muric. Ars. Asaf. Bell, 
Bry. Cham. Crotal. horr. Hep. Hyosc. Led. Lappa 
maj. Merc. sol. Mez. Mtr. ac. Phos. Phytol. dec. 
Puis. Ehus rad. Rhus tox. Sil. Sulph. 

Acne Disseminata. Ars. Bell. Calc. e. Ca7^bo veg. 
Hepar. Lach. Led. IsTatr. mur. Nitr. ac. Nux v. 
ISTux jug. Phos. ac. Puis. Sab. Seleu. Sulph. 

Acne Punctata. Bell. Bry. Carbo veg. Dig. Dros. 
Eugen. Graph. Grat. Hepar. Lachuan. Nat. mur. 
Nitr. ac. ^ux jug. Sabad. Sabin. Selen. Sep. Sulph. 
Sumb. Thuj. 

Acne Rosacea. Ars. Aur. mur. Calc. c. Calc. 
phos. Cann. sat. Canth. Carho an. Carbo veg. Carbol. 
ac. Caust. Cicut. Guar, trich. Kali brom. Kreas. 
Lach. Led. Mez. Bhus tox. Buta. Sep. Yerat. alb. 

Adenitis. Aeon. Alum. Anath. muric. Asaf. Aur. 
sol. Badiag. Bar. carh. Bar. mur. Bell. Bov. Calc. 
carh. Canth. Carbo an. Carbo veg. Cham. Cist. 
Coccul. Con. Dulc. Gran. Graph. Guar, trichl. Hep. 
loD. Xali carb. Lappa maj. Lye. Mang. c. Merc. 
PROTioD. Merc. sol. Nitri. ac. I^ux jug. Oleum jec. 
Plumb, met. Sabin. Sil. Spong. Staph. Sulph 
Syphil. 

Bedsores. Akn. Carho veg. Chin, Fluor ac. Plumb, 
met. Puis. Sulph. ac. 

Boils. Aeon. ^th. Agar. Alum. Amm. carb. 



392 REPERTORY. 

Amm. mur. Anacard. Anath. muric. Ant. crud. Apis. 
Arg. met. Am. Ars. Aur. mur. Badiag. Bar. carb. 
Bell. Bellis peren. Brom. Bry. Calc. c. Carbo an. 
Carbo veg. Chin. Coccul. Coloc. Cupr. ars. Elaps 
cor. Euphorb. Graph. Gratiol. Ham. Hepar. Hyosc. 
Ign. Indig. lod. Kali brom. Kali hyd. Kali nit. 
Kreas. Lach. Lappa maj. Lauro. Led. Lye. Magn. 
arc. Magn. carb. Magn. mur. Merc. corr. Merc. sol. 
Mez. Mur. ac. I^at. carb. Nat. mur. W\t\\ Nitr. ae. 
IS^uxjug. N"uxmos. N'ux V. Petrol. Fhos. Phos. ac. 
Fhytol. Puis. Ratanh. Rhus rad. Rhus vene. Rhus 
tox. Sabin. Sec. Sep. Sil. Spong. Staph. Stram. 
Sidph. Sulph. ac. Tart. em. Thuj. Yip. r. Zinc met. 
Zinc. oxy. 

Burns. Aeon. Agar. Alum. Ant. crud. Am. Ars. 
Calc. c. Carbo veg. Carbur. Sulph. Caust. Cosmol. 
Euphorb. Lach. Magn. carb. Plumb, acet. Rhus tox. 
Ruta. Sapo domes. Sec. Semperv. tec. Stram. Urtica. 

Cancer. Ambr. Ant. crud. Apis. Ars. Ars. iod. 
Asterias r. Aur. Badiag. Bar. c. Bell. Brom. Calc. 
c. Carbo an. Carbo veg. Carbol. ac. Caust. Cham. 
Chel. Chin. Clem. Con. Cundur. Galium. Graph. 
Guaco. Hepar. Hydrast. Kreas. Lach. Lye. Merc, 
sol. IN'atr. mur. Mtr. ac. E'ux v. Phos. Phytol. Rhus 
tox. Rumex. Sep. Sil. Squill. Staph. Sulph. Thuj. 
Zinc. met. 

Carbuncle. Anthrac. Apis. Ars. Bell. Bry. Bufo. 
Canth. Carbo veg. Carbol. ac. Chin. Coloc. Electr. 
Kreas. Lach. ^Nitr. ac. Puis. Rhus tox. Sang. Sec. 
Sep. Sil. Sulph. 

Chilblains. Agar. Ambr. Ant. crud. Am. Ars. Badiag. 
Bell. Bry. Carbo an. Carbo veg. Cham. Chin. Crocus, 
Cycl. Granat. Hepar. Hyosc. Ign. Kali carb. Lach. 
Lye. Magn. aus. Mtr. ac. IlsTux mos. Nux v. Opium. 
Petrol. Phos. Phos. ac. Puis. Bhus tox. Stann. Sulph. 
Sulph. ac. Thuj. Zinc. met. 



REPERTORY. 393 

Condylomata. Anath. muric. Arg. nit. Ars. Aur. 
mur. Bell. Calc. carb. Cinnab. Euphras. Lye. Merc. 
eorr. Merc. sol. Magn. aus. Millef. Nitr. ac. iTux v. 
Phos. ae. Sabin. Sarsap. Staph. Sulph. Thuj. 

Corns. Ambr. Agar. Alum. Amm. e. Ant. erud. 
Am. Bar. e. Borax. Bov. Bry. Calc. c. Caniph. 
Carho an. Carbo veg. Canst. Coccul. Coloc. Con. 
Granat. Graph. Hep. Ign. lod. Kali c. Lach. Lye. 
Magn. arc. Magn. ans. Magnes. mnr. Mephit. J^atr. 
c. Natr. mur. Nitr. ae. Nux v. Petrol. Phos. Phos. 
ac. Puis. Kannn. bulb. Rannn. seel. Phodo. Rhus 
tox. Ruta. Semper V. tec. Sep. Sil. Spig. Staph. 
Sulph. Snlph. ac. Thuj. Verat. alb. 

Crusta Lactea. Ars. Bar. c. Bell. Calc. c. Carbo 
veg. Cicuta. Dulc. Grappi. Hep. Iris vers. lod. 
Lappa maj. Lye. Merc. sol. Mez. ISTatr. mnr. Phos. 
Phos ac. Phus tox. Sarsap. Sep. Sil. Sulph. Snlph. 
ac. Yerat. alb. Viola trie. 

Crusta Serpiginosa. Ars. Bar. c. Calc. c. Cicuta. 
Graph. Hep. Lye. Merc. sol. Rhus tox. Sarsap. 
Sidph. 

Ecthyma. Ant. crud. Arg. nit. Ars. Borax. Cham. 
Kali bich. Kali brom. Lye. Merc. sol. Mtr. ac. Phis 
tox. Sil. Staph. Sulph. Tart. em. 

Erysipelas in general. Aeon. Anath. muric. Anthrak. 
Ant. crud. Apis. Arg. nit. Am. Ars. Bar. c. Bell. 
Borax. Bry. Bnfo. Calc. acet. Calc. c. Camph. 
Canth. Carbo an. Carbo veg. Canst. Cham. Chin. 
Chin. snlf. Chloral. Clem. Commoc. dent. Crotal 
hor. Crot. tig. Cundnr. Dulc. Eiiphor. Gelsem. 
Graph. Gymnocl. Hep. Hydras. Hydrocotyle. Hyosc. 
lod. Ipec. Kali c. Lach. Lappa maj. Lye. Magn. c. 
Mang. Meph. Merc. sol. Mur. ac. l^atr. c. IsTatr. 
mnr. Nitr. ac. Petrol. Phos. Phos. ac. Plant. Plumb, 
met. Polygon, pnnct. Puis. Rannn. bulb. Rhus rad. 
Rhus tox. Rhus vene. Ruta. Sabad. Samb. Sarsap. 

26 



394 REPERTORY. 

Semperv. tec. Sep. Sil. Spong. Stann. Staph. Stram. 
SuLPH. Tart. em. Thuj. Urtica. Yerat. virid. Vip. r. 
Vip. t. Zinc met. 

Erysipelas erraticum. Bell. Graph. Rhus tox. 

Erysipelas, Phlegmonous. Bell. Graph. Hep. 
Lach. Puis. Rhus tox. Sulph. 

Erysipelas, Vesicular. Apis. Bell. Canth. Cist. 
Graph. Hep. Lach. Rhus tox. Solan, mam. 

Erythema. Aeon. Arn. Ars. Ars. iod. Bell. 
Calc. c. Camph. Canth. Chloral. Crotal. hor. Crot. 
tig. Gelsem. Gins. Graph. Hydrocotyle. Juglans cin. 
Kali brom. Lach. Lye. Merc. dul. Merc. sol. Plant. 
Puis. Puis. nutt. Rhus tox. Sulph. Sulph. ac. Tereb. 
Urtica. Yerat. virid. 

Eczema. Aeon. Amm. c. Amm. mur. Ant. crud. 
Arg. nit. Ars. Aur. Bell. Borax. Brom. Bry. 
Calad. Calc. c. Canth. Carbo veg. Carbol. ac. Caust. 
Chin. Cieuta. Clem. Copai. Cosmol. Crot. tig. 
Cundur. Cycl. Dig. Dulc. Grajpli. Hep. Hydrast. 
Iris vers. Juglans cin. Kali bich. Lach. Lappa maj. 
Led. Lye. Merc. dul. Merc. sol. Mez. I^at. mur. 
Nitr. ac. ]^uxjug. Oleand. Petrol. Phos. Rhus rad. 
Rhus tox. Rhus vern. Sep. Sil. Staph. Sulph. Thvj. 

Felons. Alum. Anthrac. Apis. Bar. c. Bellis 
peren. Bufo. Calc. c. Caust. Diosc. Graph. Hep. 
Iod. Lach. Led. Lye. Magn. arc. Magn. aus. Merc, 
sol. l^at. mur. Nat. sulph. Paris quad. Phos. Rhus 
tox. Sep. Sil. Stram. Sulph. 

Freckles. Amm. c. Ant. crud. Bry. Calc. c. Carbo 
veg. Con. Dros. Dulc. Graph. Hyosc. Iod. Kali c. 
Kali caust. Lach. Lauro. Lye. Merc. sol. Mez. Mur. 
ac. N"at. c. JSTat. mur. Mtr. ac. Nux mos. Petrol. 
Phos. Plumb, met. Puis. Sep. Sil. Stann. Sulph. 
Tart. em. Thuj. Yerat. alb. 

Fungus Articulosis. Ant. crud. Ars. Aur. Clem. 
Con. Iod. Kreas. Lach. Petrol. Phos. Rhus tox. 
Sabin. Sil. Staph. Sulph. 



REPERTORY. 395 

Fungus Haematodes. Ars. Bell. Calc. c. Carho 
an. Carho veg. Clem. Kreas. Lack. Lye. Merc. sol. 
Nitr. ac. ISTux v. Phos. Rhus tox. Sang. ? Sep. Sil. 
Staph. 'Sulph. Thuj. 

Fungus MeduUaris. Bell. Carbo an. Phos. Sil. 
Snlph. Thuj. 

Ganglia. Amm. c. Arn. Aur. mnr. Carbo veg. 
Phos. Phos. ac. Plumb, met. Rhus tox. Puta. Sil. 
Sulph. Zinc met. 

Gangrene. Aeon. Anthrac. Apis. Ars. Asaf. Bell. 
Camph. Caps. Carbo veg. Canth. Chin. Chin, sulph. 
Con. CrotaL hor. Electr. PJtiphor. Hell. Hyosc. Kali 
nit. Lach. Merc. sol. Mur. ac. Opium. Phos. Plant. 
Plumb, acet. Plumb, met. Ranun. acris. Panun. flam. 
Panun. repens. Phus tox. Sabin. Secale. Sil. Squill. 
Sulph. Sulph. ac. Tart. em. Yip. r. Yip. t. 

Goitre. Amm. c. Bell. Brom. Calc. c. Caust. Hep. 
lod. Kali hyd. Lye. I^at. c. E'at. mur. Spig. Spong. 
Staph. Sulph.? Thuj.? 

Herpes, in general. Aeon. Agnus c. Alum. Alnus 
r. Ambr. Amm. c. Amm. mur. Anacard. Anath. 
muric. Anthrak. Ars. Aur. Aur. mur. Badiag. 
Bar. c. Bar. mur. Bell. Bov. Bry. Calc. c. Caps. 
Carbo veg. Carburet, sulph. Caust. Chel. Cicuta. 
Cist. Clem. Coloc. Con. CrotaL hor. Crot. tig. Cupr. 
met. Dolich. Dulc. Elaps cor, Euphras. Ginseng. 
Graph. Grat. Hep. Hell. Hyosc. lod. Ipec. Kali 
c. Kali hyd. Kreas. Lach. Led. Lycoper. escul. Lye. 
Mag. c. Mag. sulph. Magn. arc. Mangan. Menisper. 
Merc. corr. Merc. sol. Mez. Mosch. Mur. ac. iTat. 
c. ISTat. mur. Mcc. c. Mtr. ac. ]^ux jug. I^ux v. 
Oleand. Oleum jec. Paris quad. Petrol. Phos. Phos. 
ac. Plumb, met. Psor. Ranun. bulb. Rhus tox. Sabad. 
Sarsap. Semperv. tec. Sep. Sil. Solan, mam. ' Spig. 
Stann. Staph. Sulph. Syphil. Tax. Tereb. fjiuj. 
Yerat alb. Zinc met. 



396 REPERTORY. 

Herpes Circinatus. Ars. Calc. c. Caust. Chloral. 
Clem. Graph, Hep. Magn. c. Merc. sol. Nat. c. Nat. 
miir. Semperv. tec. Sep. Sulph. Tell. Thiij. Zinc 
met. 

Herpes Squamosus. Aeon. Ars. Aur. Bell. Bry. 
Calc. c. Carbo veg. Caust. Cicuta. Clem. Con. Dule. 
Graph. Led. Lye Merc. sol. Mur. ac. Nitr. ac. I^ux 
jug. Oleand. Petrol. Plios. Rhus tox. Sulph. Zinc 
met. 

Herpes Zona. Ars. Commoclad. dent. Cosmol. 
Graph. Merc. sol. Puis. Rhus tox. Sulph. 

Ichthyosis. Ars. ? Calc. c. Clem. Coloc. Graph. 
Hep. Lye. Petrol. Plumb, met. Sep. Sil. Sulph. 
Thuj. 

Impetigo, in generaL Alum. Alnus r. Amm. c. 
Ant. crud. Ars. Ars. iod. Bar. c. Bell. Calc. c. 
Carbo veg. Carbol. ac. Caust. Cicuta. Clem. Con. 
Crot. tig. Dulc. Graph. Hep. Kali bich Kreas. 
Lach. Lye. Merc. sol. 'Eixt. c. ^N'at. mur. Nitr. ac. 
Oleand. Phos. Phos. ac. Rhus tox. Sarsap. Sep. Sil. 
Staph. Sulph. Viola trie. 

Impetigo Figurata. Ars. Calc. c. Clem. Dulc. 
Graph. Lye. Rhus tox. Sulph. 

Impetigo Rodens. Ars. Bell. Calc. c. Cicuta. 
Graph. Hep. Merc. sol. jSTat. mur. Nitr. ac. Rhus 
tox. Sep. Sil. Staph. Sulph. 

Impetigo Scabida. Bulc. Lye. Sulph. 

Impetigo Sparsa. Cicuta Lach Sulph. 

Intertrigo. Aeon. Arn. Ars. Borax. Carbo veg. 
Cham. Graph. Hejp. Hydrast. Ign. Lach. Lye. 
Mangan. 31erc. sol. ^ux v. Oleand. Petrol. Phos. 
Phos. ac. Phytol. Puis. Rhus tox. Ruta. Sabin. Sep. 
Sil. Squill. Sulph. Sulph. ac. Syphil. 

Lepra, in generaL Alum. Amm. c. Ars. Ars. iod. 
Bai^c. Calc. c. Carbo an. Carbo veg. Carbol. ac. 
Caust. Coloc. Con. Cupr. acet. Cupr. met. Graph. 



I 



RLPERTORY. 397 

Hydrocotyle. lod. Iris vers. Kali c. Lach. Lye. Magn. 
mur. Merc. sol. i^atr. c. Nat. mur. JSTitr. ac. Petrol. 
Phos. Sep. Sil. Still, sylv. Sulph. Zinc met. 

Lepra Alba. Alum. Ars. Phos. Sep. Sil. Sulph. 

Lichen Agrius. Calc. c. Cicuta. Con. Dulc. Graph. 
Ljc. Mtr. ac. Mur. ac. Rhus tox. Sulph. 

Lichen Simplex. Aeon. Ars. Bry. Coecul. Dulc. 
ITux jug. Phytol. Puis. Staph. Sulph. 

Lichen Strophulus. Caiist. Cicuta. Cham. Grajph. 
Merc. sol. Mliiis tox. Sulph. 

Lupus, in general. Agaric. Alum. Ant. crud. 
Ars. Bar. e. Bell. Calc. c. Oarbol. ac. Carburet, 
sulph. Caust. Cicuta. Cist. Graph. Guaraco. Hep. 
Hydrocotyle. Kali c. Kali bich. Magn. arc. Mtr. ac. 
Phytol. Rhus tox. Sabin. Sep. Sil. Spong. Staph. 
Sulph. 

Measles. Aeon. Anath. muric. Ars. Bell. Bry. 
Calc. c. Caps. Chel. Chin. Coff. Copaiv. Cupr. 
acet. Cupr. met. Dros. Dulc. Electr. JEuphras. 
Gelsem. lod. Ipecac. Kali bich. Lach. 3Ierc. sol. 
Nux V. Fhos. PuLS. Puis. nutt. Rhus tox. Stram. 
Sulph. Verat. alb. Vei^it. virid. 

Miliaria (rash). Aeon. Anath. muric. Amm. c. 
Ant. crud. Arn. Ars. Bell. Bry. Calad. Carbo veg. 
Caust. Cham. Chel. Clem. Cupr. met. Digit. 
Electr. Euphras. Ginseng. Graph. Hell. Hep. 
Hyosc. Ign. Ipee. Kali chl. Lach. Led. Merc. cor. 
Mere. sol. Mez. E^at. mur. K^itr. ac. ISlux. v. Phos. 
Phos. ac. Puis. Sarsap. See. Selen. Staph. Stram. 
Sulph. Sumb. Tabae. Tart. em. Tax. Yerat. alb. 
Zinc met. 

Moles. Calc. c. Carbo veg. Graph. Nitr. ac. Pe- 
trol. Phos. ac. Sil. Sulph. ac. Thiij. 

Nsevi Materni. Bell. Calc. c. Ca?^bo veg. Cundur. 
Eluor.ae. Hep.? Lach. Lye. Millef.? ^tsTuxv. Phos. 
SiL? Thaj. 



398 REPERTORY. 

Nettlerash. Aeon. Amm. c. Amm. mur. An- 
thrak. Ant. crud. Apis. Ars. Bar. c. Bell. Bry. 
Calc. c. Carbo an. Oarbo veg. Caust. Chin. Chlor. 
Cicuta. Clem. Coccul. Con. Copaiv. Dulc. Graph. 
Hep. Hjperic. Ign. Ipec. Kali c. Kreas. Lach. 
Led. Lye. Mag. e. Mag. snlph. Mere. sol. Mez. 
iS^at. e. ITat. mar. jS'itr. ae. I^ux v. Petrol. Phos. 
Phos. ae. Psor. Puis. Puis. nutt. Rhus tox. Ruta. 
Sang. Sarsap. See. Sep. Selen. Sil. Staph. Stram. 
Sulph. Tar. Tart. em. Triost. Urtiea. Yerat. alb. 
Zine met. 

Pediculi. Ars. Carbol. ae. Chin. Merc. sol. Psor. 
Sulph. 

Pemphigus. Aeon. Ars. Bell. Cale. c. Canth. 
Caust. Chin. Dulc. Gum. gut. Hep. Hydrocotyle. 
Juglans. ein. Laeh. Mere. sol. Phos. Phos. ac. 
Panun. bulb. Rhus tox. Sep. Sulph. Thuj. 

Pityriasis. Agarie. Alum. Anaeard. Ars. Ars. 
iod. Aur. Bry. Cale. e. Carbol. ac. Dule. Graph. 
Kreas. Laeh. Led. Lye. Mag. c. Mere. sol. Nat. 
mur. Oleand. Petrol. Phos. Phytol. Ranun. bulb. 
Rhus tox. Sep. Sil. Staph. Sulph. Thuj. 

Plica Polonica. Bar. c. Lye. Vinca min. 

Porrigo. Alnus r. Lns vers. Sulph. Sumb. 

Prurigo, in generaL Alum. Ambr. Amm. c. Ant. 
crud. Ars. Bar. e. Bry. Cale. e. Carbo veg. Car- 
bol. ac. Caust. Coccul. Con. Crot. tig. Dolich. 
Graph. Hep. Lye. Merc. sol. Nsit. mur. ^N'itr. ac. 
l^nx V. Oleand. Opium. Phos. Puis. Rhus tox. 
Sep. Sil. Sulph. Thuj. Zinc met. 

Prurigo Formicans. Alum. Ambr. Amm. c. Bar. 
c. Cale. c. Carbo veg. Caust. Coccul. Con. Graph. 
Lye. Merc. sol. Nat. mur. Mtr. ac. Phos. Rhus 
tox. Sep. Sil. Sulph. Thuj. 

Prurigo Mitis. -Sry. Coccul. Nux v. Oleand. 
Opium. Puis. Rhus tox. Sil. Sulph. 






REPERTORY. 399 

Prurigo Senilis. Ars. Merc. sol. Mez. Oleand. 

Psoriasis, in general. Alum. Ambr. Anim. c. 
Ay^s. Ars. lod. Aur. Bry. Calc. c. Carbol. ac. Clem. 
Coral r. Dulc. Iris vers. Kali brom. Led. Lye. Mag. 
c. Merc. sol. Mtr. ae. N^uph. lutea. Petrol. Phos. 
Phos. ac. Phytol. Psor. Ranun. bulb. Rhus tox. Sar- 
racen. purp. Sep. Sulph. Tell. Teucr. 

Psoriasis Diffusa. Ars. Calc. c. Cicuta. Clem. 
Dulc. Graph. Lye. Mur. ac. Rhus tox. Sulph. 

Psoriasis Inveterata. Calc. c. Clem. Merc. sol. 
Petrol. Rhus tox. Sep. Sulph. 

Purpura Haemorrhagica. Aru. Ars. Bell. Berb. 
Bry. Chlor. Coccin. Hyosc. lod. Kali hyd. Lack. 
Led. ]^ux V. Phos. Rhus tox. Ruta. Sec. Sil. 
Stram. Sulph. Sulph. ac. 

Purpura Miliaris. Aeon. Amm. c. Amm. mur. 
Arn. Bell. Cotf. Dulc. Sulph. Sulph. ac. 

Purpura Senilis. Ars. Bar. c. Bry. Con. Lach. 
Opium. Rhus tox. Sec. Sulph. ac. 

Roseola or Rubeola. Aeon. Bell. Bry. Copaiv. 
Merc. sol. Nux v. Puis. 

Rupia. Alum. Ars. Borax. Calc. c. Caust. Cham. 
Clem. Graph. Hep. Kali c. Merc. sol. ISTat. c. Mtr. 
ac. Petrol. Rhus tox. Sep. Sil. Staph. Sulph. 

Scabies. Ambr. Arg. nit. Ars. Bry. Carbo veg. 
Carbol. ac. Caust. Clem. Coloc. Cupr. met. Dnlc. 
Galvan. Grat. Graph. Haracl. Hepar. Hydrocotyle. 
Kali hyd. Lach. Lye. Magn. arc. Merc. corr. Merc, 
sol. Mur. ac. I^at. c. Nat. mur. Mtr. ac. Oleand. 
Phos. ac. Psor. Rhus tox. Rumex. Selen. Sep. 
Squill. Staph. Sulph. Sulph. ac. Tart. era. Verat. 
alb. 

Scald Head. Alum. Ars. Bar. c. Calc. c. Carbo 
veg. Cicuta. Clem. Dulc. Graph. Hell. Hep. lod. 
Iris vers. Jacea. Kali c. Kreas. Lappa maj. Lye. 
Merc. sol. Mez. Oleum jec. Oleand. Petrol. Phos. 



I 



400 REPERTORY. 

Phytol. Psor. Ehits tox. Ruta. Sep. ^^7. Staph. 
Siilph. Yinca min. Viol. trie. 

Scarlatina. Aeon. Ailanth. Amm. c. Amm. mur. 
Anath. muric. Apis. An\. Ars. Arum trip li. Bell. 
Bar. c. Bar. mur. Bry. Calc. c Carbo veg. Carbol. 
ac. Caust. Cham. Chlor. Coff. Copaiv. Crocus. 
Cupr. acet. Cupr. met. Dulc. Euphorb. Galvan. Gel- 
sem. Hep. llippom. Hyclrocy. Hydrast. Hyosc. lod 
Ipec. Lacii. Led. Lye. Merc, protiod. Merc. sol. 
Mur. ac. Nitr ac. ]^ux mos. x^ux v. Opium. Phos. 
Phos. ac. Phytol. Iviius tox. Seneg. iS^/. Stram. 
Sulph. Tereb. Verat. alb. Verat. virid. Zinc met. 

Scrofulosis. Alnus r. Ampel. quin. Alum. Amm. 
c. Ars. Asaf. Aselep. tuber. Aur. Aur. mur. Bar. 
c. Badiag. Bell. Brom. Calc. c. Carbo an. Carbo 
veg. Ceras. virg. Ciua. Cist. Con. Cundur. Dulc. 
Ferr. met. Graph. Hep. lod. Kreas. Lye. Lach. 
Mag. c. Merc. sol. ^Mez. Mur. ac. ^at. c. JSTat. mur. 
Mtr. ac. I^ux jug. JSTux mos. J^ux v. Oleum jee. 
Petrol. Phos. Phos. ac. Puis. Rhus tox. Sep. Sil. 
Staph. Still, sylv. Sulph. Therid. Verat. alb. 

Small-pox. Aeon. Anath. muric. Aj^is. Ars. Bap. 
Bell. Camph. Carbol. ac. Coff. Cundur. Hydrast. 
Hyosc. Kali bieh. Merc. sol. Phos. Phos. ac. Rhus 
tox. Sarracen. purp. Sulph. Sjq^hil. Tart. em. Thuj. 
Vartol. Verat. alb. 

Styes. Alum. Ambr. Caust. Con. Dig. Ferr. 
Graph. Lye. Merc. sol. Magn. aus. Meny. [N'at. mur. 
Phos. ac. Puis. Rhus tox. Seneg. Sep. Sil. Staph. 
Stann. Sulph. 

Syphilis. Ailanth. Alnus r. Anath. muric. Apoe. 
andros. Arg. nit. Aselep. tuber. Aur. Badiag. Guaco. 
Hep. Jaearand. Kali chl. Kali brom. Lach. Menisper. 
Merc. prot. Merc. sol. Nitr. ac. i^ux jug. Phytol. 
Still. Sylv. Sulph. Syphil. Thuj. 

Tinea Tonsurans. Hep. Phytol. Sep. Sulp. 



(1 



I 



REPERTORY. 401 

Tumors. Cystic. Bar. c. Brom. Calc. c. Caust. 
Graph. Hep. Nitr. ac. Sil. Sulph. 

Ulcers, Cancerous. Ambr. Ant. crud. Ars. Aur. 
Bell. Calc. c. Carbo an. Carbo veg. Caust. Chel. 
Chin. Clera. Con. Hep. Kreas. Lack. Merc. sol. 
Nitr. ac. Rhus tox. Sep. Sil. Squill. Staph. Sulph. 
Thuj. 

Ulcers in general. Aeon. Ampel. quin. Amm. c. 
Amm. mur. Anath. muric. Angus. Ant. crud. Ars. 
Ars. hydrarg. Asaf. Asar. europ. Aur. Aur. mur. 
Balsam. Peru. Bar. c. Bar. mur. Bell. Borax. Bufo. 
Bry. Calc. c. Calc. phos. Canth. Carbo veg. Carbol. 
ac. Caust. Ceras. virg. Cham. Chel. Chin. Chin. 
sulph. Cicuta. Cinnab. Cist. Clem. Commocl. dent. 
Con. Coral, r. Crotal. hor. Cundur. Cupr. met. Dulc. 
Dros. Electr. Euphorb. Fluor, ac. Galvan. Granat. 
Graph. Guaco. Hydrocotyle. Hep. Hydrast. Hyosc. 
Ign. lod. Jacarand. Jatroph. Kali bich. Kali c, 
Kreas. Lach. Lam. alb. Lye. Mag. mur. Mangan. 
Madar. Merc. acet. Merc. dul. Merc. sol. Mez. Millef. 
Mur. ac. JSTat. c. Mtr. Nitr. ac. J^uxjug. IN'ux mos. 
Nux V. Oleand. Oleum jec. Opium. Paul. pinn. 
Petrol. Phos. Phos. ac. Phytol. Plat. Plumb, met. 
Polygon, hydrop. Polygon, puuct. Psor. Pids. Panun. 
acris. Ranun. bulb. Ranun. sceler. Phus tox. Puta. 
Sabm. Sang. Sarsap. Selen. Semperv. tec. Sep. 
Sil. Staph. Still, sylv. Sulph. Sulph. ac. Tart. em. 
Vip. r. Yip. t. Thuj. Zinc met. 

Varicellae. Aeon. Ant. crud. Ars. Asaf. Bell. 
Canth. Carbo veg. Caust. Con. Cycl. Ipec. Led. 
Merc. sol. N'at. c. J^at. mur. Puis. Rhus tox. Sec. 
Sep. Sil. Sulph. Tart. em. Thuj. Verat. alb. 

Varicellae Conoides. Aeon. Ant. crud. Ars. Bell. 
Carbo veg. Ipec. Puis. Rhus tox. Sep. Tart. em. 
Thuj. 

27 



402 REPERTORY. 

Varices. Amm. c. Amm. mur. Ant. crud. Arn. 
Ars. Calc. c. Carbo veg. Caust. Ferr. acet. Fluor 
ac. Hep. Hydrocotyle. Lye. Magn. aus. Millef. 
E"at. mur. Nux v. Puls. Sulph. Zine met. 

Warts. Amb. Amm. c. Amm. mur. Anath. muric. 
Ant. crud. Ars. Bar. c. Bell. Berb. Borax. Bov. 
Calc. c. Calc. caust. Carbo an. Carbo veg. Caust. 
Chel. Cinnab. Con. Cupr. Dulc. Euphras. Ferr. 
met. Fluor, ac. Hep. Kali c. Kali caust. Lach. 
Lye. Magn. aus. Nat. c. IsTat. mur. IsTitr. ac. Oxal. 
ac. Pallad. Petrol. Phos. Phos. ac. Plumb, met. 
Kuta. Sabin. Sang. Sarsap. Semper v. tec. Sep. Sil. 
Spong. Staph. Sulph. Sulph. ac. Thuj. 

Wens. Nitr. ac. Phos. ac. Rhus tox. 

Objective. 

Abscesses in the Head. Calc. c. Lye. 

Abscesses of Lachrymal Sac. Bry. ISTat. c. Puis. 
Sil. Stann. 

Abscesses in Face. Anather. muric. Ars. Bell. 
Bry. Hep. Lach. Merc. sol. Merc, protiod. Phytol. 
Sil. Sulph. 

Abscesses OF Parotids (in general). Ars. Lye. ISTitr. 
ac. Phos. Phytol. Sil. 

Abscesses of Parotids, Rioht Side. Bell. 

Abscesses of Parotids, Left Side. Rhus tox. 

Abscesses in Axillary Dorsal Region. Petr. 

Abscesses op J^ape of J^eck. Sil. 

Abscesses of Left Side of I^eck. Hyos. 

Abscesses of Back. Lach. 

Abscesses of Loins. Badiag. Hep. Mtr. ac. Sil. 
Staph. 

Abscesses, Psoas. China. 

Abscesses, Anterior Axillary Region. Rhus tox. 

Abscesses of Mammae. Aeon. Bell. Bry. Cistus. 
Graph. Hep. Merc. sol. Phos. Phytol. Sil. Sulph. 



REPERTORY. 403 

Abscesses in Abdominal Parietbs. Hejp. Rhus tox. 
Sil 

Abscesses on Elbow discharging Reddish-brown Pus. 
Crotal. hor. 

Abscesses of the Thighs. Sil. 

Abscesses of Ankles. Angust. Sil. 

Abscesses on Dorsa of Feet. Sil. 

Abrasion on Penis, changing to ulcer with hard edges, 
and suppuration forming a scurf. I^ux jug. 

Acne Punctata on Nose. Bell. Carbo veg. Dros. 
Graph. Hep. Lachnan. Selen. Sulph. 

Acne Punctata on the Face. Dig. Dros. Mtr. ac. 
Sabin. Selen. Sulph. 

Acne Rosacea on Forehead. Rhus tox. 

Acne Rosacea on Face. Ars. Ruta. Rhus tox. 

Adhesion of the Skin (in general). Arn. Chin. Par. 

Adhesion of Skin with Caries. Arn. Asaf. Aur. 
Chin. Hell. Merc. sol. Phos. ac. Puis. Ruta. Sabin. 
Sil. Staph. 

Band, Red, on Tibia, composed of rashlike risings. 
Calc. c. 

Band, Purple, Two Inches Wide, along each side of 
spine. Chlor. hyd. 

Bites of Insects (in general). Aeon. Arn. BelL 
Calad. Kreas. Lack. Merc. sol. Seneg. Sep. Tarant. 

Bites of Venomous or Enraged Creatures. Amm. c. 
Ars. Bell. Caust. Hydroph. Lach. Opium. Puis. 
Seneg. Tarant. 

Blackness and Swelling of Lips. Aeon. Amm. c. 
Nitr. ac Spig. 

Blackness and Swelling of Whole Skin. Aeon. 
^th. Amm. c. Arn. Ars. Aur. Bell. Carho veg. 
Con. Dig. Hep. Lach. Mang. Merc. sol. JSTux v. 
Opium. Fhos. Phos. ac. Plumb, met. Puis. Samb. 
Sec. Seneg. Sil. Sulph. ac Verat. alb. 

Blackness of Pores of Skin on Nose. Dros. Graph. 
Mtr. ac Selen. Sulph. Samb. 



^4 REPERTORY. 

Blackness of Pores of Skin on Face. Dig. Dros. 
Nitr. ac. Sabin. Selen. Sulph. Samb. 

Bleeding from Blisters and Vesicles. Graph. 

Bleeding from Rhagades. Merc. sol. Mcc. Petr. 
Puis. Sarsap. Sulph. 

Bleeding from Old Cicatrices. Lach. Phos. 

Bleeding from Ulcers. Alum. Arn. Ars. Asaf. 
Bell. Bov. Carbo veg. Caust. Con. Croc. Dros. Hep. 
Hyos. lod. Kali c. Kreas. Lach. Lye. Magn. arc. 
Merc. sol. Merc. dulc. Mez. JsTat. mur. Nitr. ac. Fhos. 
Fhos. ac. Puis. Rhus tox. Ruta. Sabin. Sec. Sep. 
Sil. Sulph. Sulph. ac. Thuj. Zinc. met. 

Bleeding from Ulcers, especially at night. Amm. 
mur. Ars. Asaf. Bell. Carbo veg. Caust. Con. 
Hep. Kali c. Kreas. Lye. Merc. sol. Merc. dulc. 
Mez. Phos. Puis. Rhus tox. Rhus vern. Sep. Sil. 
Sulph. Thuj. Zinc. met. 

Blisters, Bloody, on Arms. Sec. 

Blisters, Blackish. Ars. Lach. Nate. Petr. Vip. 
torv. 

Blisters, Blackish, on Feet. Ars. 

Blisters, Blackish, with Suppuration. Vip. torv. 

Blisters (in general). Amm. c. Ars. Borax. Caust. 
Cham. Clem. Graiph. Hep. Kali c. Magn. c. Merc, 
sol. Nat. c. Mtr. ac. Petr. Sep. Sil. Sulph. 

Blisters, Spreading. Alum. Ars. Graph. Hep. 
JSTat. mur. Rhus tox. 

Blisters Close Together. Ranunc. seel. Rhus tox. 
Verat. alb. 

Blisters in Groups. Rhus vern. Sulph. 

Blisters on I^eck. Alum. Magn. c. Vip. r. 

Blisters on I^ape of ]^eck. Caust. Graph. ]^at. c. 

Blisters on Scapula. Amm. c. Ant. crud. Caust. 
Cic. Lach. Vip. ved. 

Blisters, Dry. Rhus tox. 

Blisters on Ears. Alum. Chin. 



I 



REPERTORY. 405 

Blisters ON Face (in general). Alnm. Amm. c. Amm. 
mur. Ant. crud. Aur. fol. Bar. c. Bell. Bov. Bry. 
Canth. Carbo an. Caust. Cic. Clem. Orotal. hor. 
Ewphorh. Graph. Hep. Indig. Lach. Magn. c. Mang. 
Nat. c. Mtr. ac. 01. an. Petr. Phos. Rhus tox. Sep. 
Sil. Stront. Sulph. Yaler. Zinc. met. 

Blisters, Bloody, on Face. I^at. mur. 

Blisters, Watery, on Face. Bov. Coloc. 

Blisters on Feet (in general). Ars. Caust. Con. 
Grajph. Phos. Panunc. rep. Selen. Sep. Tarax. Yip. 
torv. Zinc. met. 

Blisters, Black, on Feet. Ars. J^at. mur. 

Blisters on Soles of Feet. Ars. Sulph. 

Blisters on Heels. Calc. c. Caust. Lach. IsTat. c. 
Petr. Phos. Sep. 

Blisters on Toes. Graph. Lach. Nat. c. Mtr. ac. 
Phos. ac. Selen. Sulph. 

Blisters, Phagedenic, on Feet. Con. Selen. Sulph. 
Zinc. met. 

Blisters, Phagedenic, ON Heels. Caust. Nate. Sep. 
Sil. 

Blisters, Phagedenic, on Toes. Ars. Graph. Mtr. 
ac. Petrol. 

Blisters, Watery, on Toes. Phos. ac. 

Blisters on Heels, changing to boils. Calc. c. 

Blisters on Heels, changing to ulcers. Lam. alb. Sep. 

Blisters under Feet ; at night discharge light-yellow 
fetid water. Ars. 

Blisters, Fistulous. Aur. fol. Calc. c. Petr. 

Blisters, Gangrenous. Aeon. Ars. Bell. Canth. 
Carbo veg. Hyos. Lach. Mur. ac. Ranunc. bulb. Ra- 
nunc. rep. Sabin. Sec. Vip. r. 

Blisters on Hands. Amm. mur. Ant. crud. Ars. 
Bell. Bov. Canth. Caust. Clem. Cocc. Sep. Kali 
c. Kalichl. Kalihyd. Lach. Magn. c. Merc. sol. Mez. 



406 REPERTORY. 

Nat. rnur. Phos. Ranunc. bulb. Rhus rad. Bhus tox. 
Selen. Sep. Sil. Squill. Sulph. 

Blisters ON Wrist. Amm.mur. Merc. sol. Rhustox. 

Blisters on Fingers. Bell. Clem. Cupr. met. Cycl. 
Electr. Graph. Grat. Hell. Hep. Kali c. Lach. 
Laur. Magn. c. Mang. Nat. c. Nat. mur. Nitr. ac. 
Phos. Phos. ac. Plumb. Ranunc. bulb. Rhus tox. Sar- 
sap. Sep. 

Blisters on Finger- joints. Cycl. Hell. Hep. 

Blisters on Thumbs. Hep. Lach. Nat. c. I^at. sulph. 
Phos. ac. Sep. 

Blisters, Phagedenic, on Hand. Clem. Magn. c. 

Blisters, Phagedenic, on Fingers. Clem. Graph. Hep. 
Kali c. Magn. c. Mtr. ac. Sil. Sulph. 

Blisters, Phagedenic, on Thumbs. Hep. Mtr. ac. 

Blisters, Phagedenic, on Wrists. Hep. 

Blisters, Transparent, on Hands. Mang. Ranunc. 
bulb. 

Blisters on Hands, filled with greenish sanguineous 
fluid. Electr. 

Blisters on Little Finger suppurate and discharge 
pus. Graph. Ranunc. bulb. 

Blisters between Fingers and on lower limbs. Ra- 
nunc. bulb. 

Blisters on Edge of Hands, where finger begins. Cocc. 
Ranunc. bulb. 

Blisters, Hard, Indurated. Lach. Phos. Phos. ac. 
Sil. 

Blisters, Herpetic. Amm. c. Ars. Bor. Caust. 
Clem. Graph. Hep. Kali c. Magn. c. Merc. sol. Nat. c. 
Nitr. ac. Petr. Sep. Sil. Sulph. 

Blisters, Secreting Humor. Electr. Hell. Hep. 
Lach. Mang. Merc. sol. Phos. Ranunc. bulb. Ra-' 
nunc, sceler. Rhus tox. Sulph, Vip. torv. 

Blisters on Tips. Alum. Amm. c. Amm. mur. Ars, 
Aur. fol. Bell. Bry. Canth. Carbo an. Carbo veg. 



f REPERTORY. 407 

Caust. Cic. Clem. Con. Grraph. Hell. Hep. Kali 
c. Lauro. Magn. c. Magn. mur. Mang. Merc. sol. 
Mez. Mur. ac. N'at. c. Nat. mur. Fat. sulph. Par. 
Phos. Plat. Rhodo. Rhus tox. Sarsap. Seneg. Sep. 
Sil. Staph. Sulph. Urtica. Yal. Yerat. alb. Zinc, 
met. 

Blisters IN Corners OF Mouth. Caust. Lauro. Mez. 
Seneg. 

Blisters, Bloody, on Lips. ISTat. mur. 

Blisters, Bloody, in and on ISTose. Sep. 

Blisters, Pale-red. Rhus tox. 

Blisters Peel Off. Bry. Puis. Rhus tox. 

Blisters, Putrid. Vip. torv. 

Blisters, Raised (above surrounding skin). Merc. sol. 
Selen. Sulph. 

Blisters, Red. Ant. crud. Cocc. Cycl. Crot. hor. 
Led. Mang. l^at. c. Nat. mur. Sil. Val. 

Blisters with Red Areola. Cann. sat. Crot. hor. 
Kalic. Kalichl. l^at. c. Sabad. Sil. Sulph. Tabac. 
Yip. torv. 

Blisters after Scratching. Amm. c. Ant. crud. 
Caust. Chin. Cycl. Hep. Lach. Mang. I^at. c. isTat. 
mur. Phos. Rhus tox. Sarsap. Spong. 

Blisters, Scurfy. Bell. Hell. Nat. c. Ranunc.hulb. 
Sil. Sulph. 

Blisters on Genitals (in general). Carbo veg. Caust. 
Graph. Merc. sol. Niir. ac. Phos. ac. Rhus tox. Staph. 
Sulph. Thuj. 
h Blisters on Glans Penis. Merc. sol. Phos. ac. Rhus 
W tox. Thuj. 

F Blisters on Prepuce. Carbo veg. Caust. Graph. 
Mtr. ac. 

Blisters on Labia. Graph. Staph. Sulph. 
^. Blisters under the Jaws. Mur. ac. 
^L Blisters on Face, as if caused by the sun's heat. Clem, 



408 REPERTORY. 

Blisters on Chest. Caust. 

Blisters, Transparent (in general). Kali c. Lack. 
Magn. c. Magn. mur. Mang. Merc. sol. jRanunc. bulb. 

Blisters, Ulcerated. Calc. c. Caust. Graph. Merc. 
sol. Nat. c. SuLPH. Zinc. met. 

Blisters around Ulcers. Ars. Bell. Caust. Hep. 
Lach. Magn. arc. Merc. sol. Nat. c. Petr. Phos. 
Bhus tox. Sep. 

Blisters containing Water. Bell. Bov. Clem. 
Graph. Magn. arc. Merc. sol. I^at. c. Plat. Plumb. 
Rhus tox. Rhus vern. Sec. Sidph. Tab. Vip. red. 
Zinc. met. 

Blisters containing Water on lips. Bell. Bov. 
Clem. Merc. sol. Plat. Rhus tox. Zinc. met. 

Blisters containing Water on hands. Bell. Cocc. 
Magn. arc. Bhus vern. Sarsap. 

Blisters containing Water on fingers. Cupr. met. 
Magn. c. ]^at. sulph. Blnmb. met. Bids. Bhus vern. 

Blisters, White, in general. Amm. c. Berb. Cann. 
sat. Caust. Clem. Electr. Graph. Hell. Hep. Lach. 
Merc. sol. Mez. Nat. c. Phos. Sabad. Sulph. ThvJ. 

Blisters, Yellow. Ant. crud. Dulc. Crotal. hor. 
Mur. ac. Ranunc. bulb. Rhus tox. Vip. torv. 

Blisters, Small, above eyes. Crotal. hor. 

Blisters, Brown, Swelling, and Discharge much cor- 
rosive serum. Galvan. 

Blisters, White, Discharge a white fluid, on lips, chin, 
and neck. Hep. 

Blister, Flat, on knee, as if full of bile. lod. 

Blisters Break, and leave sore places. Rhus tox. 

Blisters, White, with red edges, on right knee. Sabad. 

Blisters, Large, on right lower arm. Spong. 

Blisters on Anus. Merc. corr. Sec. Sep. 

Blisters on Abdomen. Merc. corr. 

Blisters on Sternum. Bell. 



REPERTORY. 409 

Blisters with White Edges (after burns). Bell. Clem. 
Caust. 

Blister on Right Shoulder, forming a scurf. Amm. 
mur. 

Blisters, with Black Scurf and (Edema. Bell. 

Blotches (in general). Anac. Ant.crud. Arn. Ars, 
Asaf. Bar. c. JBeM. Berb. ^ry. Calc. c. Caps. Chel. 
Coft". Cocc. Con. Crotal. hor. Croc. Dulc. Electr. 
Hell. Hep. Hyosc. Ign. Kali c. Kreas. Lach. Led. 
Lye. Magn. c. Mang. Merc. sol. iTat. c. JS'at. mur. 
Mtr. ac. Nux v. Op. Petr. Phos. Phos. ac. Puis. 
Rhus tox. .Rhus vern. Ruta. Sabin. Sarsap. Sec. 
Selen. Sep. Sil. Spig. Squill. Staph. Stram. Sulph. 
Sulph. ac. Tart. e. Yal. Yerat. alb. Vip. torv. 

Blotches, Bloody. Arn. Bellis peren. Bry. Con. 
Sec. 

Blotches ON Feet. Carboveg. Nux jug. Sep. Sulph. 

Blotches, Gangrenous (Anthrax ?). Ars. Bell. Caps. 
Electr. Hyos. Lach. Rhus tox. Sec. Sil. Tart. e. 
Vip. torv. 

Blotches, Gray. WiiY. ac. 

Blotches, Inflamed. Hep. jMang. Merc. sol. Phos. 
Sil. 

Blotches like Nettle-rash. Berb. Kreas. Lach. 
Magn. sulph. Mez. Sarsap. Verat. alb. 

Blotches, Red. Arg. nit. Carbo veg. Merc. sol. 
Mur. ac. Morph. acet. Op. Phos. Rhodo. Spong. 
Urtica. Verat. alb. 

Blotches, WITH Red Areola. Ant.crud. Cocc. Dulc. 
Nat. c. Nat. mur. Nuxjiig. Pedic. cap. Phos. Rhus 
tox. Sep. 

Blotches, Soft. Ant.crud. Bell. Carboveg. Lach. 
Mez. Petr. Rhus tox. Sil. 

Blotches, White, with Red Areola on limbs and face. 
Ant. crud. Carbo veg. Lach. Mez. Petr. Rhus tox. 
Sil. Thuj. 

28 



410 REPERTORY. 

Blotch on Right Knee like a mosquito bite. Ant. crud. 

Blotches on Head. Anac. Bar. c. Calc. c. Carbo 
an. Hell. Kali c. Lye. Mez. INTat. mur. E'ux v. 
Puis. Phos. Phos. ac. Ruta. Sil. 

Blotches in Front of Ears. Bry. 

Blotches Behind Ears. Bry. Oalc. c. Carbo an. 
Caust. Staph. 

Blotches on Ears. Spong. 

Blotches on !N'ose. Bell. lod. 

Blotches on Face. Alum. Ant. crud. Ars. Bar. c. 
Calc. c. Canth. Carbo veg. Chel. Cic. Con. Dig. 
Dulc. Graph. Hell. Hep. lod. Kali c. Lach. Led. 
Lye. Magn. arc. Magn. c. Magn. mur. Merc. sol. 
i^Tat. c. IsTux V. Op. Puis. Rhus rad. Sep. Sulph. 
Viol. tr. Zinc. met. 

Blotches on Lips. Ars. Bar. c. Bell. Bry. Caust. 
Con. Hep. Kali hyd. Magn. arc. Magn. mur. Sep. 
Sil. Stront. Sulph. 

Blotches on Lower Jaw. Stann. Staph. 

Blotches, Red and Suppurating, on neck under the jaw. 
Lach. I^at. mur. Rhus rad. 

Blotches on Abdomen. Merc. sol. Merc. viv. I^at. c. 

Blotch at Left of Anus. Stann. 

Blotches at Anus. Carbo veg. Ign. Ipec. Stann. 
Staph. Thuj. 

Blotches all Around Anus. Staph. Thuj. 

Blotch, Large, Red, with black pimple in centre, close 
to the rectum. Carbo veg. 

Blotches at Anus, like fig-warts. Aur. mur. Cinnah. 
Euphras. Lye. Merc. corr. Merc. sol. Mtr. ac Phos. 
ac Thuj. 

Blotches ON Genitals. Arn. Bell. Bov. Bry. Merc. 
Tiv. ^N^at. c Sep. 

Blotches on Chest. Merc viv. ]^at. c Pedic cap. 
-Sarsap. 

Blotches in Axilla. Bry. Mez. Petr. 



REPERTORY. 411 

Blotches on I^eck. Graph. E"at. mur. Sarsap. Sep. 
Spong. 

Blotches on I^ape of IReck. Sil. 

Blotches, Red, on Right Side of neck. Mur. ac. 

Blotches on JN'eck, as from heat. Sulph. 

Blotches on Back. Lach. Mez. 

Blotches on Arms. Mur. ac. Nat. mur. 

Blotches on Forearms. Crotal. hor. Mez. 

Blotches on Upper Arms. Berb. 

Blotches on Hands. Ars. Arg. nit. Carbo an. In- 
dig. Kali chl. Merc. sol. Rhus tox. Rhus vern. Sep. 
Spig. Stram. Sulph. Urtica. 

Blotches on Wrists. A mm. mur. Carbo veg. Cocc. 

Blotches on Fingers. Aeon. Ant. crud. Arg. nit. 
Ars. Berb. Caust. Cocc. Con. Lach. Led. IsTat. c. 
Rhus tox. Yerat. alb. 

Blotches, Red, on Back of Hand and index finger, 
changing to yellow blister on red base. Arg. nit. 

Blotches, Red, Lentil-sized, on hands. Sep. 

Blotch, White, with Red Areola on index finger. 
IS'at. c. 

Blotches, Red, on fingers of right hand. Aeon. Arg. 
nit. 

Blotches, Hard, Elevated, with watery vesicles on 
them, on hands. Rhus vern. 

Blotches Deep under Skin, on palm of hands. Rhus 
vern. 

Blotches on Ring Finger. Rhus tox. 

Blotches, Red, on backs of fingers. Yerat. alb. 

Blotches, Hard, Dry, with red areola, on backs of fin- 
gers. Cocc. Rhus tox. 

Blotch on Right Shoulder. Hura bras. 

Blotches on Legs. Ant. crud. Arg. nit. Aur. fol. 
Carbo veg. Cocc. Hura bras. Kreas. Merc. sol. ISTux 
jug. Petr. Phos. Rhod. Thuj. 

Blotches on ]^ates. Ant. crud. Bry. Sarsap. 



412 REPERTORY. 

Blotches on Thighs. Aur. fol. Carbo veg. Crotal. 
hor. Merc. viv. Rhod. Zinc. met. 

Blotches on Knees. Ant. crud. Sulph. 

Blotches on Calves of legs. Aur. fol. Carbo veg. 
Lacb. Merc. sol. Petr. Pbos. Tbuj. 

Blotches on Feet. Ant. crud. Kreas. Ljc. l^u^ 

jug- 

Blotches on Toes. Sulpb. Zinc. met. 

Blotches on Chin. Bry. Carbo an. Eupborb. Hep. 
Mag. mur. Oleand. 

Blotches on Eyelids. Aur. fol. Bry. Calc. c. Ra- 
nunc scelr. Stapb. Tbuj. 

Blotches, Hard. Amm. c. Amm. mur. Ant. crud. 
Bov. Bry. Con. Lack. Magn. c. Magn. sulph. iTat. 
mur. Pbos. Rbus tox. Yaler. 

Blotches, Hard, on Back. Ant. crud. Pbos. Zinc, 
met. 

Blotches Secreting Humor. Mtr. ac. Selen. 

Blotches, Inflamed. Amm. mur. Pbus tox. 

Blotches, Inveterate, Malignant. Ars. 

Blotches like E'ettle-rash. Berb. Kreas. Lach. 
Sarsap. Yerat. alb. 

Blotches after Scratching. Lacb. Lye. Merc. sol. 
l^at. c. Nitr. ac. Op. Rbus tox. Spig. Yerat. Zinc, 
met. 

Blotches on G-lans Penis. Bell. 

Blotches on Scrotum. Am. 

Blotches on Prepuce. Sep. 

Blotches, Watery. Grapb. Magn. c. 

Blotches, Whitish. Dulc. Sulpb. Yal. 

Blotches, Yellow. Ant. crud. Sulpb. 

Blotches Bleeding wben scratcbed. Cocc. Kali c. 
Mtr. ac. 

Blotches, Cold. Bell. 

Blotches, Large, Indurated, and deep under skin. 
Amm. mur. Pbos. 



REPERTORY. 413 

Blotches, Inflamed, with brown-red scurf, and swelling 
of the parts. Amm. mur. 

Blotches like Sting of Insects. Ant. crud. Kreas. 
Tarant. 

Blotches like Sting of Insects, especially on face and 
joints of the extremities. Ant. crud. Kreas. 

Blotches on Lower Limbs at night. Arg. nit. 

Blotches, Lentil-sized, Colorless. Ars. 

Blotches, Hard, Dry, with red areola on limbs. Cocc. 
J^ux jug. Phos. 

Blotches containing no Fluid, with red areola. Cocc. 

Blotches on Leg below knee, changing to thick, hard 
nodules when rubbed. Aur. fol. 

Blotches Large and Small, of clingy-yellow color, on 
calves of legs. Aur. fol. Carbo veg. 

Blotches Small and Dry on instep, especially the left, 
forming a hard scab, and leaving a hard blue-red spot. 
J^ux jug. 

Blotch, White, on chest above left breast. Pedic. cap. 

Blotches on Edge of Tibia. Phos. 

Blotches, Brownish and Bluish. Phos. 

Blotches, Red and Raised (" Hives " ?). Urtica. 

Blotches on Cheeks and corners of mouth. Kali hyd. 

Blotches, Red, and growing to Abscesses (boils ?), with 
red areola. Kali hyd. 

Blotches, Conical, red or skin color, more easily felt 
than seen. Chloral. Morph. acet. 

Blotches, Rose-colored, in leprous patients. E'at. c. 
Sil. 

Blotches on Right Forearm, size of small peas, hard 
after scratching. Mez. 

Blotches, Small, Flat, light-red, on chest and genitals. 
Merc. viv. 

Blotches, Small, Flat, light-red, on thighs. Merc. viv. 
Rhod. 

Blotches, White, on calves of legs. Thuj. 



414 REPERTORY, 

Blubness OF Skin (in general). Aeon. Amm.c. Ang. 
Arn. Ars. Aur. fol. Bell. Bry. Calc. c. Camph. 
Carbo veg. Cocc. Con. Crotal. hor. Cupr. met. Dig. 
Lack. Led. Merc. sol. l!^at. mnr. Nux v. Op. Phos. 
Phos. ac. Plumb, met. Puis. Ehus tox. Samb. See. 
Sil. Spong. Sulph. ac. Thuj. Verat. alb. Vip. red. 
Yip. torv. 

Blueness of Al^ 'Nasi. Hydroc. 

Blue Lips. Agar. Alum. Ang. Ars. Berb. Calc. 
c. Caust. Cin. Con. Cupr. Dig. Lye. Merc. sol. 
Op. Phos. Stram. Yerat. alb. Vip. red. 

Blue Clavicles (region of). Thuj. 

Blue Arms. Plat. Sep. 

Blue Hands. Aeon. Amm. c. Cocc. Lach. Nux 
V. Spong. Zinc met. 

Blue Legs. Bism. Con. 

Blue Feet. Lach. Vip. torv. 

Blue (swelling of) Glands. Arn. Ars. Aur. fol. 
Carbo an. Carbo veg. Con. Ferr. iod. Hep. Lach. 
Mang. Merc, protiod. Merc. sol. Puis. Sil. Sulph. 

Boils in general. Aeon. Alum. Amm. c. Amm. 
mur. Anac. Ant. crud. Arn. Ars. Aur. fol. Bar. 
e. Bell. Bry. Calc. c. Carbo an. Carbo veg. Chin. 
Cocc. Euphorb. Graph. Grat. Ham. Hep. Hyos. 
Ign. Kreas. Lach. Laur. Led. Lye. Magn. arc. 
Magn. mur. Merc. sol. Mez. Mur. ac. 'Nat. c. Nat. 
mur. Nitr. ac. Nux mos. Nux v. Petrol. Fhos. Phos. 
ac. Puis. Rhus tox. Sec. Sep. Sil. Spong. Staphis. 
Stram. Sulph. Sulph. ac. Tart. e. Thuj. Vip. red. 
Zinc. met. 

Boils, Large. Apis. Hep. Hyos. Lach. Lyc. Merc. 
soL Kat. c. E'lTR. AC. Phos. 

Boils, Small. Arn. Bar. c. Grat. Lyc. Magn. c. 
Magn. mur. Il^at. mur. Nux v. Sulph, Zinc. met. 

Boils, Periodically Recurring. Hyos. Lyc. Nitr. 
ac. Nux V. Phos. Phytol. Sil. Staph. Sulph. 



REPERTORY, 415 

Boils, Furunculoijs Eruption. led. 

Boils, Small, all over, after measles. Bell. 

Boils, Small, on neck and face ; on head, back, and 
chest, of various sizes. Kali hyd. 

Boils Mature Slowly. Hep. Sulph. 

Boils very Inflamed and Painful. Bell. Merc. sol. 

Boils on Head. Bar. c. Bell. Calc. c. Cin. Kali 
brom. Kali c. Led. Magn.mur. Mur. ac. Kat. brom. 
Mtr. ac. Ehus tox. 

Boils on Forehead. Amm. nmr. Led. Phos. 

Boil on Forehead where hair begins to grow. Bell. 
Calc. c. 

Boil on Forehead above left eye. ]N"at. mur. 

Boils on Forehead, Large. Magn. c. 

Boils on Forehead, Small. Phos. 

Boils on Right Temple. Mur. ac. 

Boils on Eyelids. Lappa maj. 

Boils on Ears. Sil. Sulph. 

Boils in Front of Ears. Carbo veg. 

Boils over Ears. Alum. 

Boils behind Ears. l^at. c. Phytoh 

Boils behind Right Ear. Phytol. 

Boils around Ears. Amm. c. 

Boils, Large, on Helix of Ear. Sulph. 

Boils in Ears. Electr. Puis. Sulph. 

Boils in External Meatus. Puis. Sulph. 

Boils on I^ose. Alum. Amm. c. Carbo an. Magn. 
mur. 

Boils on Tip of ^ose. Aeon. Amm. c. Apis. 

Boils in I^ose. Alum. Amm. c. Carbo an. Sil. 

Boils on E'ose, suppurating speedily. Magn. mur. 

Boil, or Furunculous Pustule, on right side of nose, 
in front of septum. Amm. c. 

Boil, or Furunculous Pustule, in depression in outer 
side of right wing of nose. Con. 

Boil, or Furunculous Pimple, in right nostril. Phos. 



416 REPERTORY. 

Boils on Face. Alum. Amm. c. Anath. muric. 
Arn. Bar. c. Bell. Broni. Bry. Calc. c. Oarbo veg. 
Coloc. Chin. Cina. Iris vers. Kali brom. Kali hyd. 
Lappa maj. Lauro. Led. Mez. Mur. ac. i!N"at. c 
Nat. mur. Mtr. ae. Rhus rad. Sil. 

Boils on Face, which do not mature. Rhus rad. 

Boils on Faces and Heads of children. Cina. 

Boils on Face and Cheeks. Alum. Amm. c. Chin. 
Mez. 

Boils on Face and Left Cheek. Alum. Amm. c. 

Boils on Cheek near E'ose, large. Sil. 

Boils at Corners op Mouth. Amm. c. 

Boils on Lower Lip. Petr. 

Boils over Upper Lip. IS'at. c. 

Boil on Right Side of lips. Alum. 

Boil, Large, Tubercular, on left side of lips. Ratanh. 

Boils on Chin. Amm. c. Hep. Mtr. ac. Sil. 

Boil on Side of chin. Mtr. ac 

Boils over Chin. ITat. c. 

Boil, or Furunculous Pustule, on chin, leaving a red 
spot. Magn. c. 

Boil under Jaw. Carbo veg. Sep. 

Boils ON ISTeck. Amm. c. Bellisperen. Chin. Coloc. 
Graph. Indig. Kali hyd. Magn. c. Nat. mur. Nitr. 
ac Rhus venen. Sep. 

Boils on Nape of Neck. Electr. Nitr. ac Phos. Sil. 

Boils on Neck, Small. Graph. 

Boils in Axilla. Borax. Canst Fluor, ac Lye 
Phos. ac. Sulph. ac 

Boils in Left Axilla. Lye 

Boils ON Back. Aeon. Caust. Coloc Electr. Graph. 
Iris vers. Kali hyd. Mur. ac Phytol. Sulph. ac Thuj. 
Zinc. met. 

Boils, Small, on Back. Caust. Graph. Mur. ac. 

Boils on Right Side of Back. Phytol. 

Boils on Small of Back. JEth. Mur. ac Thuj. 



REPERTORY. 417 

Boils IN Scapular Eegion. Amm. c. Bell. lod. Led. 
Lye. Mtr. ac. ISTuxjug. Zinc. met. 

Boils, Large, on Scapula. W\iv. ac. 

Boils on ^ates. Acon. Agar. Alum? Aar. mur. 
Bar. c. Graph. Hep. Indig. Lycop. W\tv. ac. Phos. 

AC. 

Boil between Scapula, with gangrene of legs. led. 

Boils, Two, on One of ^sTates. Hep. 

Boils on Chest. Amm. Cham. Chin. Hep. Magn. c 
Phos. 

Boils, Large, on Chest. Phos. 

Boils, Small, on Chest. Amm. c. 

Boils on Right Side of Chest. Amm. c. Chin. Kali 
hyd. 

Boils oyer Pectoralis Muscles. Cham. Chin. 

Boils over False Ribs. Magn. mur. 

Boil below Last Rib, Left Side. Arg. fol. 

Boils on Abdomen. Amm. mur. Phos. Zinc. ox. 

Boil on Right Side of Abdomen. Amm. mur. 

Boil on Abdomen above genitals turns dark-blue. Zinc. 
ox. 

Boils on Pubes. Apis. Copaiv. Zinc. ox. 

Boil on Perineum. Ant. crud. 

Boil at Anus. Carbo an. 

Boils on Shoulders. Amm. c. Bell. Nitr. ac. Nux 
jug. Phos. ac. 

Boils, Small, on Left Shoulder. Amm. c. Bell. 

Boils on Right Shoulder. Kali nit. Phos. ac. 

Boils on Arms. Amm. c. Brom. Calc. c. Carbo an. 
Carbo veg. Elaps. cor. Graph. lod. Lye. llagn, 
mur. Mez. I^ux jug. Petr. Phos. ac. Rhus vene. 
Sil. Zinc. met. 

Boils, Small, on Arms. Graph. 

Boils, Four or Five Large, one below elbow on lower 
side of arm. Bell. 

Boil on Right Biceps. JSTux jug. 



418 REPERTORY. 

Boil on Posterior Surface Right Upper Arm. led. 

EoiLS ON Left Upper Arm. Mez. Zinc. met. 

Boils on Upper Arm. Carbo veg. led. Mez. ^N'ux 
jug. Zinc. met. 

Boils, Many Large and Small, on Arms. Sil. 

Boils, Syphilitic, on Arms. Iris vers. 

Boils on Forearms. Calc. c. Lye. Magn. mur. Petr. 

Boil on Upper Arm, with pimples all around it. Carbo 
veg. 

Boils ON Hands. Calc. c. Iris vers. Lach. Led. Lye. 

Boil on Back of Left Hand. Calc. c. 

Boils, Small, Immature, with erysipelatous inflamma- 
tion of whole back of hand. Rhus rad. 

Boils on Fingers. Calc. c. Lach. Sil. 

Boils on Finger-joints and Backs of fingers. Calc. c. 

Boil on Middle Finger of Left Hand. Iris vers. 

Boil on Thumb. Nitrum. 

Boil on Lower Part of Thumb. Kali nit. 

Boils on Hips. Alum. Amm. c. Bar. c. Graph. 
Hep. Lye. Mtr. ac. ^N'ux jug. Fhos. ac. Ratanh, 
Sabin. 

Boils on Right Hip especially. Alum. Amm. c. 
Nitr. ac. 

Boils ON Thighs. Alum. Amm. c? Aur. mur. Calc. 
c. Clem. CoccuL. Hyos. Ign. Lach. Lyc. Magn. 
c. Nitr.ac. E'uxjug. I^dxvom. Petr. Phos. Phos. 
ac. Rhus vene. Sep. Sil. 

Boils on Right Thigh. iN'ux jug. Rhus vene. 

Boils on Inner Surface of Thigh. Ign. Coccul. 

Boil on Posterior Surface of Thigh. Sep. Sil. 

Boils on Thigh above knees. Lyc. 

Boils on Knees. I:^at mur. Ii^ux v. 

Boils on Legs. Calc. c. Magn. c. Kitr. ac. !N'ux 
vom. Petr. Sil. 

Boils on Calves of Legs. Sil. 

Boils on Ankles. Merc. sol. 



REPERTORY. 419 

Boils on Feet. Calc. c. Led. Sil. Steam. 

Boils on Sole of Right Foot. Eatanli. 

Boil on Heel. Calc. c. 

Boils on Sckotum. Cupr. ars. Zinc. ox. 

Boils, Small, on forehead, neck, chest, and thighs. 
Magn. c. 

Boils, Small, on nape of neck, chest, thighs, and fore- 
head. Phos. 

Boils, Small and Indurated, on cheek and chin, and at 
corners of mouth ; emit water and blood. Aram. c. 

Boils, Indurated, with profuse, thick, bloody suppura- 
tion. E'ux jug. 

Bruises in general. Arn. Badiag. Bellis peren. Cic. 
Con. Croc. Euphras. Hep. lod. Mez. Petr. Phos. 
Polygon, punct. Puis. Puta. Sulph. Sulph. ac. Verb, 
hast. 

Bruises, with Extravasation. Arn. Bry. Bellis 
'per en. Con. Crotal. hor. Dale. Hep. Lack. -Nux v. 
Puis. Rhus tox. Sulph. Sulph. ac. Verb. hast. 

BuLLiE, Large, Red, on right buttock. Ant. crud. 

BuLL^, Hard, size of a pea, on a red base on lower arm. 
Sil. 

BuLLiE, Hard, on ball of thumb. Phos. ac. 

Burns, Inflamed, Swollen, Gangrenous, covered with 
yellow ichorous vesicles. Plumb, met. Urtica ur. 

Burns, with swelling, oedema, and small, transparent, 
confluent vesicles filled with serum. Urtica ur. 

Carbuncles, during ulceration. Sil. 

Carbuncles, bluish-purple ; cannot bear any bandage on 
the parts, especially on neck. Lach. 

Carbuncles dark red and of fetid odor. Carbo veg. 

Chilblains blue- red, with swelling. Arn. Bell. Kali 
c. Puis. Zinc. met. 

Chilblains, with bleeding rhagades. N'ux v. Petr. 
Puis. 

Chilblains, red and thick. Kali c. Sulph. 



420 REPERTORY. 

Chilblains, Old, inflame and suppurate. Lach. Sulph. 

Chilblains, inflamed. Ars. Bell. Cham. Hep. Lach. 
Lye. Nitr.ac. Petr. Phos. Puis. Khustox. Staph. 
Sulph. 

Chilblains, Ped. Agar. Ambr. Ant. crud. Am, 
Ars. Aur. fol. Bell. Berb. Borax. £ry. Carbo an. 
Carbo veg. Cham. Chin. Cocc. Colch. Croc. Cycl. 
Hep. Hyosc. Kali c. Lye. Magn. arc. Magn. aus. 
Nitr. ac. l^ux mos. Nux v. Petr. Phos. Phos. ac. 
Pals. Patanh. Phiis tox. Ruta. Sep. Spig. Stann. 
Staph. Sulph. Sulph. ac. Thuj. Zinc. met. 

Chilblains, with blotches after scratching. Phus tox. 

Chilblains on hands. Nitr. ac. Stann. Zinc. met. 

Chilblains on fingers. Carbo an. Lye. Petr. Puis. 
Sulph. Sulph. ac. 

Chilblains on feet and toes. Agar. Ant. crud. Hep. 
Kali c. Nitr. ac. Nux v. Petr. Phos. Rhus tox. 
Sidph. Thuj. 

Chilblains, especially on big toe. Xitr. ac. 

Cicatrices, Old, break open. Carbo veg. Crotal. hor. 
Lach. Sil. 

Cicatrices bleed Lach. Phos. 

Cicatrices turn red. Lach. Merc. sol. l^at. mur. 

Contraction of skin all over. Cupr. met. 

Corns, Horny. Ant. crud. Graph. Ranunc. scelr. 
Sulph. 

Corns, Inflamed. Lye. Ptds. Rhus tox. Sep. Sil. 
Sulph. 

Corns, especially on left foot. Yerat. alb. 

Crack, small, on index finger, inflamed, and a blister 
on the sore spot. Sil. 

Cracks in nipples, fingers, and hands. Balsam. Peru. 

Crusts, humid, on scalp and arms. Alum. Bar. c. 

Crusts formed about arms. Berb. 

Crusts, thick, humid, becoming dry and black, with 
red, humid, dilated, yellow margins. Chin. Sulph. 



REPERTORY. 421 

Ceusts, Black. Bell. Chin. Sulph. A^ip. torv. 

Crusts, Bleeding. Merc. sol. Mez. 

Crusts, Brown. Amm. nmr. Ant. crud. Berb. 

Crusts, Dry. Ars. Ars. iod. Aur. eol. Aur. mur. 
Bar. c. Calc. c. Chin. Sulph. Graph. Lach. Led. 
Merc. sol. Sulph. Thiij. 

Crusts, Fetid. Graph. Lye. Merc. sol. Plumb, met. 
Psor. Staph. Sulph. 

Crusts, Gray. Ars. Lye. ? Merc. sol. 

Crusts, Greenish. Calc. c. Puis. ? 

Crusts, Herpetic. Bov. Calc. c. Clem. Con. 
Graph. Lach. Lye. Raminc. scelr, Sep. Sulph. 

Crusts, Horny. Graph. Ranunc. scelr. 

Crusts, Damp, Humid. Alum. Ars. Bar. c. Calc. 
c. Chin, sulph. Cic. Clem. Graph. Hell. Hep. 
Lyc. Merc. sol. Mez. Oleand. Plumb, met. Ranunc. 
scelr. Rhus tox. Rata. Sep. Sil. Staph. Sulph. 

Crusts, Raised. Sabin. 

Crusts, red-brown. Amm. mur. 

Crusts, Suppurating. Ars. Plumb, met. Sil. Sulph. 

Crusts, Yellow. Ant. crud. Aur. fol. Aur. mur. 
Cic. Iod. Kreas. Merc. sol. Mez. 

Crusts on Head. Alum. Ars. Ars. iod. Bar. c. 
Calc. c. Carho an. Chel. Electr. Ferr. met. Graph. 
Hell. Kali c. Magn. c. Merc. sol. Mur. ac. ]^at. 
MUR. Nitr. ac. Oleand. Paris. Petr. Phos. Rhus 
TOX. Rut a. Sil. Sulph. 

Crusts on Eyelids. Graph. Sep. 

Crusts on Ears. Bov. Graph. Hep. Iod. Lach. 
Lyc. Mur. ac. Puis. Sarsap. Spong. 

Crusts behind Ears. Graph. Hep. Lyc. Puis. 
Staph. 

Crusts on [Rose. Ant. crud. Bar. c. Bell. Bov. 
Carho an. Carbo veg. Crot. I^at. mur. Mtr. ac. Petr. 
Phos. ac. Ratanh. Rhus tox. Sep. Staph. Sulph. 

Crusts on tip of I^ose. Carho an. Carbo veg. Sep. 



422 REPERTORY. 

Crusts on Face. Alum. Ant. crud. Ars. Bar. c. 
Bell. Bry. Calc. c. Carbo veg. Cocc. Coloc. Dulc, 
Graph. Hep. Ign. Lach. Lye. Merc. sol. Mur. ac. 
Mtr. ac. Petr. Phos. Phos. ae. Sarsap. Sep. Sil. 
Staph. Sulph. Thuj. Viol. tr. Zinc. met. 

Crusts on Chin. Sep. 

Crusts on Genitals. Caust. Is'itr. ac. Thuj. 

Crusts on Nipples. Lye. 

Crusts on Back. Graph. ]^at. mur. 

Crusts in Axilla. Nat. mur. 

Crusts on Nape of ISTeck. Bell. 

Crusts on Elbows. Sep. 

Crusts on Forearm. Alum. 

Crusts on Hands. Sarsap. Sep. 

Crusts on Fingers. Anac. 

Crusts ON Lower Limbs. Ars. Calc. c. Sabin. Staph. 
Zinc. met. 

Crusts on Feet. Sil. 

Dampness, Humor, on Ears. Calc. c. Lye. 

Dampness, Humor, behind Ears. Amm. c. Calc. c. 
Carbo veg. Caust. Graph. Hep. Kalic. Lye. Mtr. 
ac. Oleand. Petr. Phos. Sil. 

Dampness, Humor, on Edges of Ears. Sil. 

Dampness, Humor, on Genitals. Calc. c. Cann. sat. 
Carbo veg. Hep. Lye. Nat. mur. Nitr. ac. Petr. 
Sep. Staph. Sulph. Thuj. 

Dampness, Humor, on Glans Penis. Cann. sat. Cinnab. 
Lye. Mere. sol. Mez. Nat. mur. Nitr. ac. Sep. Staph. 
Thuj. 

Dampness, Humor, on Scrotum. Carbo veg. Petr. 
Sulph. 

Dampness, Humor, between pudendum and thighs. 
Calc. Hep. 

Dampness, Humor, on Mons Veneris. Sulph. 

Dampness, Humor, on Prepuce. Nitr. ac. 

Dampness, Humor, in Axilla. Carbo veg. Sulph. 



REPERTORY. 423 

Dampness, Humor, on scapulae. Lach. 

Dampness, Humor, on sacrum. Graph. Led. 

Dampness, Humor, between thighs. Hep. Sulph. 

Dampness, Humor, on feet. Mez. Selen. 

Dandruff accumulating evenly over the scalp, which 
is smooth and seems thickened. Calc. c. 

Dandruff, with transparent gelatinous discharge. 
Graph. 

Dandruff, smelling badly. Lye. 

Dandruff in circles like ringworm. Sep. 

Desquamation (in general). Aeon. Agar. Alum, 
Amm. c. Amm. mur. Ars. Ars. iod. Arum, triph. 
Aur. fol. Bar. c. Bell. Berb. Bov. Calc. c. Canth. 
Caps. Carbo an. Caust. Cham. Chloral. Clem. 
Coloc. Commoc. dent. Con. Crot. Crotal. hor. Cro- 
tal. cascav. Dig. Dulc. Euphorb. Ferr. met. Graph. 
Hell. Hip. man. Hydras.. Hyosc. Iod. Kali c. 
Lauro. Magn. c. Merc. sol. Mez. Mosch. I^at. c. 
J^at. mur. Oleand. Op. Paris. Phos. Phos. ac. Plat. 
Plumb. Puis. Ranunc. seel. Rhus tox. Sabad. Sec. 
Selen. Sep. Sil. Spig. Staph. Stram. Sulph. Sulph. 
ac. Tarax. Tart. e. Verat. alb. 

Desquamation, especially from hands and feet. Merc. 
dulc. Merc. sol. Sep. 

Desquamation, especially from left thigh. Pedic. cap. 

Desquamation from tips of lingers, soles of feet, and 
heels. Elaps. cor. 

Desquamation about the nails. Sabad. 

Desquamation in round patches (like blisters from which 
the serum has been absorbed), leaving the skin purple 
(and in some places yellow). Arms are red and speckled, 
with shreds of dead-white epidermis. Chloral. 

Discharges, Albuminous. Amm. mur. Borax. Bov. 
Mez. Petr. Plat. 

Discharges of bad taste or smell. Copaiv. Dros. 
Puis. 



424 REPERTORY. 

Discharges, Bitter. Arn. Ars. Carbo veg. Cist. 
Dros. Merc. sol. JSTitr. ac. Phos. ac. Puls. 

Discharges, Bluish. Ambr. Ars. Cupr. acet. 

Discharges containing bloody points. Amm. c. Lauro. 

Discharges of bloody mucus. Aeon. Alum. Amm. 
mur. Ars. Asar. Bar, c. Bell. Canth. Caps. Carbo 
veg. Caust. Cheno. Chin. Cocc. Con. Copaiv. Ferr. 
met. Graph. Hep. Iod. Kali c. Kali chl. Led. Lye. 
Merc. sol. Mez. Murex. ]S"at. mur. Nux mos. ^Nux 
V. Op. Paris. Petr. Phos. Puls. Sep. Sil. Sulph. 
Sulph. ae. Thuj. Yerat. alb. Yip. torv. Zine. met. 

Discharges, blood-streaked. Ars. Borax. Chin. 
Perr. met. Laeh. Magn e. Magn. mur. Mez. Sabin. 
Sep. 

Discharges, Brownish. Amm. mur. Ars. Bell. 
Bism. Borax. Carbo veg. Grat. ^itr. ac. Sulph. 

Discharges smelling like old cheese. Cale. e. Hep. 
Mere. sol. Sulph. 

Discharges, copious. Aeon. Alum. Amm. c. An- 
thrac. Aiy. fol. Ars. Asaf. Bry. Calc. c. Canth. 
Caust. Chin. Cie. Dule. Ferr. met. Graph. Guaj. 
Iod. Kali c. Kreas. Lack. Lauro. Lye. Magn. mur. 
Magn. sulph. Mang. Merc. sol. Mez. ^N'atr. e. Nat. 
MUR. 'N'ltr. ac. Phos. Phos. ae. Puls. Ranune. bulb. 
Hhus tox. Ruta. Sarnb. Sabin. Sarsap. Sep. Sil. 
Squill. Staph. Sulph. Thuj. 

Discharges, corrosive. Alum. Amm. c. Amm. mur. 
Anae. Ant. erud. Anthrae. Ars. Borax. Bov. 
Cale. c. Cann. sat. Canth. Carbo an. Carbo veg. 
Clem. Chin. Con Euphorb. Ferr. met. Hep. Ign. 
Iod. Kali e. Kali hyd. Kreas. Lack. Lye. Magn. e. 
Magn. inur. Mang. Merc. sol. Mez. Mur. ae. IS'at. 
mur. Nitr. ae. Nux v. Phos. Phos. ae. Puls. Ra- 
nunc. bulb. Puta. Sep. Sil. Spig. Squill. Sulph. 
Sulph. ac. Thuj. 



REPERTORY. 425 

Discharges, fetid, offensive. Anthrac. Ars. Caps. 
Magn. c. Nitr. ac. Nux v. Sabin. 

Discharges of fetid smell or taste. Ars. Bell. Chel. 
Cup. met. Ferr. met. Graph. Kreas. Merc. sol. Mur. 
ac. Nat. c. Mtr. ac. Puis. Sep. Sil. Stann. 

Discharges smelling like putrid eggs. Con. 

Discharges, flesh-colored. Alum. Cocc. Kreas. Merc, 
sol. Mtr. ac. Sabin. Tahac. 

Discharges, flocculent. Agar. Amb. Merc. sol. Sep. 

SULPH. 

Discharges, frothy. Ars. Chen. Ferr. met. Op. 
Sec. Sulph. ac. 

Discharges, gelatinous. Arg. fol. Berb. Chin. Hell. 
Lauro. Rhus tox. Selen. 

Discharges, globular. Sil. Thuj. 

Discharges, gray. Amhr. Anac. Arg. fol. Ars. 
Carbo an. Caust. Chin. Copaiv. Kreas. Lach. 
Magn. mur. Merc. sol. Sep. Sil. Thuj. 

Discharges, greasy. Magn. c. 

Discharges, greenish. Ars. Asaf. Aur. fol. Borax. 
Carbo veg. Caust. Colch. Dros. Ferr. met. Hyosc. 
Kali c. Kreas. Lach. Led. Lyc. Magn. aus. 31agn. 
c. Mang. Merc sol. Murex. ]^at. c. ^at. mur. 
Mtr. ac. l!Tuxv. Pnos. Pals. Rhus tox. Sabad. Sep. 
Sil. Stann. Sulph. TImj. 

Discharges smelling like fish-brine. Graph. Selen. 
Tellur. 

Discharges, lumpy. Kali c. Kreas. Phos. Sabad. 
Sabin. Stann. 

Discharges of metallic taste. Calc. c. Cupr. met. 
Ipec. is'ux V. Rhus tox. 

Discharges, milky. Calc. c. Carbo veg. Con. Ferr. 
met. Lyc. Phos. Puls. Sabin. Sep. Sil. Sulph. ac. 

Discharges of thick mucus. Aeon. Agar. Alum. 
Amm. mur. Ant. crud. Arg. fol. Ars. Bar. c. Berb. 
Borax. Calc. c. Carbo an. Carbo veg. Con. Copaiv. 

29 



'426 REPERTORY, 

Electr. Graph. Ipec. lod. Kali hyd. Kreas. Lam. 
alb. Lye. Magn. arc. Magn. mur. Magn. sulph. Mu- 
rex. Mur. ac. Nat. c. Nat. mur, Is'itr. ac. Oleum an. 
Op. Paris. Puis. Puta. Sabad. Samb. Sarsap. Sec. 
Selen. Seneg. Sil, Staph. Sulph. Zinc. met. 

Discharges of thin mucus. Borax. Caps. Carbo veg. 
Oolch. Electr. Graph, Ferr. met. Kali hyd. Lauro. 
Lye. Magn. c. Mez. ^Nat. mur. ]^ux v. Oleum an. 
PuLS. Rhus tox. Seneg. Stann. Staph. Sulph. ac. 
Tereb. 

Discharges of musty smell and taste. Borax. Carbo 
veg. 

Discharges, purulent. Ars. Copaiv. Ign. Mere. sol. 
Sep. 

Discharges, reddish. Asar. Borax. Bry. G-raph. 
Paris. Phos. Rhus tox. Sil. Squill. Sulph. 

Discharges, ropy. Asaf. Carbo veg. Graph. Kali 
bich. Lach. Magn. aus. Magn. c. 

Discharges, salty. Ambr. Alum. Amm, c. Ars. 
Bar. c. Cale. e. Chin. Dros. Graph. Lyc. Magn. c. 
Magn. mur. Merc, sol, 'Nat. c. i^ux v. Fetr, Phos. 
Puis. Samb. Sep. Sil. Stann. Staph. Sulph. Zinc, 
met. 

Discharges, slimy. Aeon. Agar. Agn. Alum. 
Ambr. Amm. e. Amm. mur. Ang. Ant. erud. Arg. 
fol. Arn. Ars. Arum, triph. Asaf. Asar. Aur. fol. 
Bar. c. Bell. Bism. Borax. Bov. Bry. Calc. c. 
Camph. Cann. sat. Canth. Caps. Carbo an. Carbo 
veg. Caust. Cham, Chel. Chen. Chin. Cina. Coee. 
Coff. CoLCH. Coloc. Con. Copaiv. Croc. Cupr. met. 
Euphorb. Euphras. Ferr. met. 
Guaj. Hell. Hep, Hyose. Ign. 
Kali ehl. Kreas. Lach. Lact. 
Lauro. Lye. Magn. arc, Magn. aus. Magn. c. Magn, 
mur. Merc. sol. Mez. Mur. ac. IsTat. c. Nat. mar, 
E'at. sulph. Nitr. ac. E'ux mosch. E'ux v. Oleand. 



Dig. 


Dros. Dulc. 


Galv, 


Grat. Graph 


Ipec. 


loD. Kali c. 



REPERTORY. 427 

Paris. Petr. Phos. Phos. ac. Plat. Plumb, met. 
PuLS. Ranunc. seel. Ratanh. Rhod. Rhus tox. 
Ruta. Sabad. Sabin. Samb. Sarsap, Sec. Selen. 
Seneg. Sep. Sil. Spig. Spong. Squill. Stann. 
Staph. SuLPH. Sulpb. ac. Tart. e. Thuj. Yal. Yerat. 
alb. Zinc. met. 

Discharges, sour smelling or tasting. Calc. Graph. 
Hep. Kali c. Lam. alb. Magn. mur. Merc. sol. ]N"at. 
c. E'ux. V. Plumb, met. Sep. Sulph. Tarax. 

Discharges like starch. Sabin. 

Discharges of sweetish taste or smell. Asar. Lachi 
Magn. c. Merc. corr. 

Discharges, tenacious. Aeon. Agn. Alum. Amm. 
mur. Anac. Ant crud, Ars. Bar. c. Bell. Bov. 
Bry. Calc. c. Cann. sat. Canth. Carbo veg. Caust. 
Cham. Chin. Chin, sulph. Cist. Cocc. Colch. Con. 
Dulc. Euphras. Grraph. lod. Kali c. Laeh. Lact. 
Lauro. Lob. Magn. c. Magn. mur. Merc. sol. Mez. 
;N'at. c. Nux V. Paris. Oleum an. Phos. Phos. ac. 
Plumb, met. Puis. Ranunc. seel. Bhus tox. Sabad. 
Sabin. Samh. Seneg. Sep. Spig. Spong. Squill. 
St ANN. Staph. Tab. Tart. e. Yerat. alb. Zinc. met. 

Discharges, viscous. Carbo an. Carbo veg. Hep. 
Phos. Phos. ac. Plat. Sulph. 

Discharges, transparent. Alum. Crotal. hor. Ferr. 
mur. Graph. Kali hyd. Magn. sulph. Mang. [N'at. 
mur. Phos. Puis. Sabad. Sep. Sil. Stann. Sulph. 
ac 

Discharges, yellow. Aeon. Agn. Alum. Amb. Amm. 
c. Amm. mur. Anac. Ang. Ant. crud. Arg. fol. 
Ars. Aur. fol. Bar. c. Bell. Berh. Bov. Bry. 
Calc. c. Cann. sat. Canth. Caps. Carho an. Carbo 
veg. Caust. Cham. Cic. Clem. Con. Croc. Dros. 
Dulc. Eugen. Gran. Graph. Hep. lod. Kali c. 
Kreas. Lach. Lyc. Magn. c. Magn. mur. Magn. 
sulph. Mang." Merc. sol. Mez. Mur. ac. Fat. c. 



428 REPERTORY, 

Nat.mur. E'itr. ac. ^uxvom. Phos. Phos. ac. Puls. 
Rhas tox. Ruta. Sabad. Sabiri. Sec. Selen. Seneg. 
Sep. Sil. Spig. Stann. Staph. Sulph. Sulph. ac. 
Thuj. Yerat. alb. Viol. tr. 

Discharges, watery. Agar. Alum. Ambr. Amm.c. 
Amm, m.ur. Ant. crud. Arg. fol. Ars. Asar. Bell. 
Bov. Calc. c. Cann. sat. Carbo an. Carbo veg. Cham. 
Chill. Clem. Coff. Con. Graph. Guaj. Ign. lod. 
Kalibyd. Kreas. Lach. Magn.c. Magn. mur. Mang. 
Merc. sol. Mez. Murex. Mur. ac. Nux v. Paris. 
Phos. Plumb, met. Puis. Ranunc. seel. Rhus tox. 
Seneg. Sep. Sil. Squill. Stann. Staph. Sulph. 
^ulph. ac. Thuj. 

Discharges, white. Ambr. Asar. Bell. Borax. 
Bov. Calc. c. Canth. Carbo veg. Caust. Colch. Con. 
Ferr. met. Glraph. Grat. Hell. Kreas. Ljc. Magn. 
c. Merc. sol. Nsit. mur. I^ux v. Oleum an. Phos. 
PuLS. Ratanh. Sabin. Sep. Sil. Sulph ac. Tab. 
Tart. e. 

Discharge staining linen black. Bry. 

Discoloration, dirty color of skin in general. Ant. 
crud. Ars. Bry. Ferr. met. lod. Merc. sol. Phos. 
Plumb, met. Sec. Vip. torv. 

Dots, Small, Red, on eyelids and hands ; on neck cov- 
ered with whitish scales. Hydrocotyle. 

Dryness of Skin in general. Acon. Alum. Ambr. 
Amm. c. Anac. Amt. crud. Arg. fol. Am. Ars. 
Ars. iod. Asaf. Bar. c. Bell. Bism. Borax. Bry. 
Calc. c. Camph. Cann. sat. Canth. Carbo an. Carbo 
veg. Caust. Cham. Chin. Chin, sulph. Clem. Cocc. 
CoFF. CoLCH. Coloc. Cou. DuLC. Ferr. met. G-raph. 
Hell. Hep. Hydrocotyle. Hyosc. Ign. Iod. Ipec. 
Kali c. Kreas. Lach. Lauro. Led. Lye. Magn. 
aus. Magn.c. Mang. Merc. sol. Mez. Murex. Mur. 
ac. Nat. c. IsTat. mur. Nitr. ac. ^N'ux mosch. J^ux 
V. Oleand. Op. Paris. Phos. Phos. ac. ' Plat. Plumb. 



REPERTORY. 429 

met. Puis. Ranunc. bulb. Eanunc. seel. Rhus tox. 
Euta. Sabad. Samb. Sec. Seneg. Sep. Sil. Spig. 
Spong. Squill. 8taph. Stram. Sulph. Sulph. ac. 
Tart. e. Teucr. Yal. Verb. Viol. ad. Viol. tr. 

Dry, Parched Skin. Calc. c. IIyosc. Iod. Kali c. 
Magn. c. I^at. c. Sec. 

Dry Skin, like Parchment. Ars. Ars. iod. Chin. 
Chin, sulph. Dulc. Kali c. Led. Lyc. Phos. Sil. 
Squill. 

Dry, Brittle Skin. Hyosc. IN'at. c. Sec. 

Dry Skin on Ears. Graph. Mtr. ac. Petr. 

Dry Skin on Hands. Anac. Bar. c. Bism. Ferr. 
met. Hep. Lach. Lyc. Nat. c. Nat. mur. Phos. 
Phos. ac. Sabad. Sulph. Tax. Thuj. 

Dry Skin on Fingers. Anac. Sil. Tart. e. 

Ecchymoses (in general). Arn. Bellis peren. Bry. 
Calc. c. Cham. Chin. Con. Crotal. hor. Dulc. Electr. 
Euphras. Ferr. met. Hep. Lach. Lauro. ISTat. c. 
]^at. mur. Nux v. Paris. Plumb, met. Puis. Rhus 
tox. Rata. Sec. Sulph. Sulph. ac. Verb. hast. 

Eczema on Scalp. Ars. Borax. Brom. Calc. c. 
Graph. Iris vers. Lappa, maj. Lyc. Sulph. Vinca 
min. 

Eczema along edges of scalp. Hydras. iTat. mur. 
Mtr. ac. 

Eczema begins on the back of the head. Lyc. 

Eczema around margins of hair from ear to ear, poste- 
riorly. Sulph. 

Eczema on face. Ars. Bell. Borax. Cic. Croton 
tig. Cycl. Graph. Hep. Iris vers. Lappa maj. Lyc. 
Merc. sol. Rhus tox. Sep. 

Eczema, especially on left side of face^ on chin and be- 
hind ears ; thick crusts, raw surfaces, and deep rhagades. 
Graph. 

Eczema on head, moist, bad-smelling, grayish-white 



430 REPERTORY. 

crust ; most of hair gone, and eruption extending to the 
face. Lappa maj. 

Eczema in internal ear. Mtr. ac. 

Eczema of Head, raw, inflamed, scurfy, discharging a 
corrosive fluid, which eats among the hair. Nat. mur. 

Eczema Capitis, with profuse oozing, as of a dirty, 
nasty-smelling discharge ; scalp covered, as with a cap. 
Brom. 

Eczema of scalp, with moist scabs and engorged glands 
in the neck. Hell. 

Eczema on arms. Mez. Phos. Sil. 

Eczema on forearms. Graph. 

Eczema on hands. Ars. Graph. Lye. Mez. Phos. 

Eczema on left hand. Ars. 

Eczema on fingers of right hand. Lye. 

Eczema on fingers (in general). L^^c. Sil. Staph. 

Eczema in bends of extremities. Amm. c. Bry. 
Graph. Led. Merc. sol. Sep. Sulph. 

Eczema of extremities, marginatum, and impetiginoides. 
Sulph. 

Eczema on inner surface of thighs after vaccination. 
Rhus tox. 

Eczema on the legs. Ars. Carboveg. Graph. Lach. 
Lye. Merc. sol. Nat. mur. Sulph. 

Eczema on calves of legs. Graph. 

Eczema, moist, on genitals. Petr. Phus tox. 

Eczema on genitals. Arg. nit. Ars. Calad. Croton 
tig. Graph. Hep. Lye. Nat. mur. Nitr. ac. Petr. 
Phus tox. Sep. Sulph. Thuj. 

Eczema Pubrum ; small blisters in the axillse suddenly, 
and emit a discharge which colors the linen a greenish- 
yellow. Nux jug. 

Eczema, bleeds easily and is covered with thick crusts, 
with fetid secretion beneath. Lye. 

Eczema, yellow crusts, and inflamed surroundings after 
scratching. Merc. sol. 



REPERTORY. 431 

Eczema, with thick moist crusts. Rhus tox. 

Eczema, yellow acrid moisture oozes from under the 
crusts : when the surface is denuded of these, new vesicles 
at once form, and soon burst, forming a crust as before. 
Staph. 

Eczema, vesicles smaller and flatter than mercurial ec- 
zema. Copaiv. 

Eczema, with pimples, crusts, and easily bleeding sur- 
face. Sulph. 

Eczema, transparent glutinons discharge, forming crusts. 
Graph. 

EczEMA,with purulent secretion. Clem. Graph. Hep. 
Lappa maj. Lye. ^N'at. niur. Mtr. ac. Sulph. 

Efflorescence of vividly red spots on abdomen and 
legs. Origan, vulg. 

Elevations, small, hot, red, whose tips become white 
and scaly, on left arm, elbow, and nates. Merc. sol. 

Elevations, small, round, colorless. Op. 

Elevations, red, tuberculoid, and inflamed. Rhus rad. 

Elevations, small, dark-red ; on backs of hands, covered 
with scabs, beneath which are pus. Sulph. ac. 

Eruptions, Blackish. Ant. crud. Ars. Asaf. Bell. 
Bry. Chin. Con. Crotal. hor. Electr. Lach. Mur. 
ac. Mtr. ac. Rhus tox. Sec. Sep. SiL Spig. Yip. 
red. 

Eruptions, Brownish. Cann. sat. Nitr. ac. Phos. 
Phos. ac. 

Eruptions, close-grained, dense. Agar. Carbo veg. 
Copaiv. Sep. Squill. Thuj. 

Eruptions, Confluent. Agar. Ant. crud. Cic. Co- 
paiv. Hyosc. Phos. ac. Rhus tox. Tart. e. Yal. 

Eruption, copper-colored. Alum. Ars. Calc. c. Cann. 
sat. Carbo an. Carbo veg. Corall. Kreas. Led. Mez. 
Phos. Rhus tox. Ruta. Syphil. Verat. alb. 

Eruption on covered parts. Led. Thuj. 

Eruption, Dry. Alum. Ars. Ars. iod. Bar. c. 



432 REPERTORY, 

Bov. Bey. Calc. c. Carbo veg. Caust. Clem. Cocc. 
Cwpr. met. Dolicli. Didc. Evon. Graph. Grara. 
trich. Hyosc. Kreas. Kali l)ich. Led. Lye. Magn. 
c. Merc. sol. Mez. Nat. c. Nat. mur. Paris. Fetr. 
Phos. Phos. ac. Plant, maj. Psor. Phustox. Sarsap. 
Sep. Sil. Stann. Staph. . Sulph. Teucr. Val. Ye- 
RAT. ALB. Viol. tr. Zinc. met. 

Eruption, copper-colored , about mouth and cbi n. Yerat. 
alb. 

Eruption, dry and scaly, on lower lip. Plant, maj. 

Eruption, dry, on arms and legs, like zona. Dolich. 

Eruptive Fevers. Aeon. Bell. Yerat. virid. 

Eruption, fiery, red, like nettlerasli. Aeon. 

Eruption, fine, around eyes and nose. Euphras. 

Eruption, fine, like sand, in bends of knees. Ars. 

Eruption, fine, on forearms and wrists, backs of hands, 
between the fingers, and on scrotum and ankles. Rhus 
vene. 

Eruption, fiery, scarlet all over, or consisting of small 
vesicles, with red areola. Sulph. 

Eruption, as if excoriated. Graph. Lye. 

Eruption, fine. Agar. Alum. Ars. Bell. Bry. 
Carbo VEa. Caust. Clem. Cocc. Con. Dulc. Graph. 
Hep. lod. Ipec. Kreas. Led. Merc. sol. Mez. Nat. 
mur. Nitr. ac. Nux v. Paris. Phos. Phos. ac. Puis. 
Phus tox. Sarsap. Sulph. Yal. Zinc. met. 

Eruption, fiery red. Agon. Bell. Stram. Sulph. 

Eruption, Flat. Amm. c. Ang. Ant. crud. Ars. 
Asaf. Bell. Carbo an. Euphorb. Lach. Lye. Merc, 
sol. Nat. c. Nitr. ac. Petr. Phos. Phos. ac. Puis. 
Ranunc. bulb. Selen. Sep. Sil. Staph. Sulph. Tart, 
e. Thuj. 

Eruption, Granular. Amm. c. Ars. Carlo veg. 
Graph. Hep. Nat. mur. Phos. Tabac. Zinc. met. 

Eruption, grape-shaped. Agar. Calc. c. Rhus tox. 
Staph. Yerat. alb. 



REPERTORY. 433 

Eruption on hairy parts. Kali c. Lye. Merc. sol. 
^at. mnr. Mtr. ac. Phos. ac. Rhus tox. 

Eruption, Hard. Ant. crud. Aur. fol. Mez. Ra- 
nunc. bulb. Rhus rad. Rhus tox. Spig. YaL 

Eruption, Herpetic. Amm. c. Anac. Aur. mur. 
Chin. Dolich. Ipec. Menisp. can. Rhus tox. Sep. 
Staph. 

Eruptions, Humid. Alum. Ars. Bar. e. Bell. Bov. 
Bry. Calc. c. Carbo an. Carbo veg. Caust. Cic. 
Clem. Con. Dulc. Graph. Grat. Hell. Hep. Kali 
c. Kreas. Lach. Led. Lyc. Merc. sol. Mez. ^N'at. 
c. Is'at. mur. Nitr. ac. Oleand. Petr. Phos. Phos. 
ac. Rhus tox. Ruta. Sabin. Selen. Sep. Sil. SquiU. 
Staph. Sulph. Sulph. ac. Thuj. Yiol. tr. 

Eruptions, Inflamed. Ars. Calc. c. 

Eruptions, Miliary. Agar. Ailanth. Amm. c. 
Amm. mur. Anath. muric. Ant. crud. Ars. Cham. 
Chel. Clem. Cocc. CofF. Electr. Galvan. Hell. 
Hyosc. Hura bras. Ipec. Kali chl. Kreas. Led. Mez. 
ISTat. mur. JN'itr. ac. J^ux v. Paris. Sang. Sarsap. 
Sec. Selen. Staph. Tart. e. Tax. YaL Yerat. alb. 

Eruptions, Obstinate. Alum. Amm. c. Bar, c. Bo- 
rax. Calc. c. Carbo veg. Caust. Cham. Chel. Clem. 
Con. Croc. Euphorb. Graph. Hell. Hep. Kali c. 
Lach. Lyc. Magn. c. Mang. Merc. sol. Mur. ac. 
Nate. Nitr.ac. JSTuxv. Oleand. Paris. Petr. Phos. 
Phos. ac. Plumb. Rhus tox. Sep. Sil. Sqnill. Staph. 
Sulph. Tar. Viol. tr. Zinc. met. 

Eruption, Miliary, White. Agar. ITux v. 

Eruption, Miliary, on forearms. Selen. Tar. Tart. e. 

Eruption, Miliary, face and joints. Hura bras. 

Eruption, Miliary, on wrists. Led. 

Eruption, Pale. Ars. 

Eruption, Purulent. Ant. crud. Ars. Bell. Cic. 
Clem.. Cocc. Con Cycl. Dulc. Euphras. Hep. Iris 
vers. Kali c Led. Lyc. Magn. c. Merc. sol. Nat. c. 



434 REPERTORY. 

lS^2ii. mur. Petr. Plumb. Puis. Rhus tox. Samb. 
Sarsap. Sec. Sep. Sil. Spig. Staph. Sulph. Tar. 
Tart. e. Thuj. Verat. alb. Viol. od. Yiol. tr. Zinc, 
met. 

Eruption, Raised. Ars. Asaf. Calc. c. Caust. Ghel. 
Copaiv. Dulc. Lach. Merc. sol. Mez. IsTux v. Op. 
Phos. Sulph. Tab. Tar. Yal. 

Eruptions, Red. Acon. Agar. Agn. Alum. Amb. 
Amm. c. Amm. mur. Anath. muric. Ant. crud. Arn. 
Ars. Aur. fol. Bar. c. JBell. Bo v. Bry. Calad. 
Calc. c. Cann. sat. Cantb. Caps. Carbo an. Carbo 
veg. Caust. Cham. Chin. Cic. Clem. Cocc. CofF. 
Con. Croc. Croton tig. Cupr. met. Cycl. Bros. 
BuLC. Graph. Hep. Hyosc. lod. Ipec. Kali c. 
Kreas. Lach. Led. Lye. Magn. arc. Magn. c. Magn. 
mur. Merc. sol. Mez. ^at. c. I:Tat. mur. Nitr. ac. 
I^ux V. Op. Paris. Petr. Phos. Phos. ac. Plant, 
maj. Plumb, met. Puis. Rbodo. Rhus rad. Rhus 
tox. Ruta. Sahad. Sec. Sep. Sil. Spong. Stann. 
Staph. Stram. Sulph. Sulph. ac. Sab. Tart. e. Tax. 
Teucr. Yal. Yerat. alb. Yip. torv. Zinc. met. 

Eruptions, Reddish, on penis. Petr. 

Eruption of small red papillae. Magn. mur. 

Eruption, Red, on palms of hands. Magn. arc. 

Eruption, humid, bad smelling, with much vermin on 
head, face, and behind ears. Yinca min. 

Eruptions, dark-blue, or red, on back, legs, and ankles. 
Puis. nutt. 

Eruptions, dark-red (or bright), lentil-sized. Copaiv. 

Eruptions, Scaly. Agar. Ailanth. Amm. c. Amm. 
mur. Anac. Ant. crud. Ars. Ars. iod. Aur. foL 
Bar. c. Bar. mur. Bell. Coc. Clem. Cupr. met. Bulc. 
Graph. Hep. Hyosc. Kali c. Led. Magn. c. Merc. 
sol. IsTat. c. Oleand. Phos. Plant, maj. Plumb, met. 
Rhus tox. Sep. Staph. Sulph. 



REPERTORY. 435 

Eruption on affected knee, scarlet and spreading all 
over. Tereb. 

Eruption, scarlet-red, over neck, chest, arms, and legs. 
Galvan. 

Eruption, red, scaly, on body as far as abdomen. Bell. 

Eruption, suppuratiog, ulcerated. Ars. Caps. Carbo 
an. Chin. Cocc. Commoc. dent. Grat. Graph. Iris 
vers. Hep. Squill. Syphil. 

Eruption, suppressed, receding. Apis. Cupr. acet. 
Cupr. met. Dulc. Gelsem. Ipec. Phos. Psor. Puis. 
Sulph. 

Eruption, in scarlet band, about three inches wide, 
around waist like zona. Polygon, punct. 

Eruption, scaly, on lips, backs of hands and fingers. 
Mur. ac. 

Eruptions, Syphilitic. Iris vers. Kali chl. Kali hyd. 
Syphil. 

Eruption, like sycosis on vulva. Anath. muric. 

Eruption on scalp, suppurating. Ars. Cic. Clem. 
Graph. Hep. Lappa maj. Yinc. min. 

Eruptions after vaccination. Sil. Sulph. 

Eruptions, whitish. Agar. Anath. muric. Ant. 
crud. Ars. Borax. Bov. Bry. Ipec. Merc. sol. 
Phos. Fuls. Sulph. Tart. e. Thuj. Val. Zinc met. 

Eruptions, yellowish. Agar. Ant. crud. Ars. Aur. 
fol. Bar. c. Bar. mur. Coc. Croc. Cupr. met. Eu- 
phorb. Hell. Kreas. Led. Lye. Merc. sol. Nat. c. 
Nitr. ac, Paris. Phos. ac. Sep. Yal. 

Eruptions, like a zone. Ars. Bry. Cham. Grajph. 
Merc. sol. i^at. c. Fuls. Rhus tox. Selen. Sil. Sulph. 

Eruption on head. Ars. Bar. c. Bar. mur. Calc. c. 
Carho an. Cic. Clem. Lyc. Merc. sol. Oleand. 
Petr. Rhus tox. Futa. Spig. Staph. 

Eruption on and about eyes. Ars. Calc. c. Caust. 
Con. Euphras. Graph. Hell. Hejp. Ign. Kali c. 



436 REPERTORY. 

Merc. sol. Oleand. Paris. Petr. Phiis tox. Selen. 
Seneg. Sep. Sil. Spong. Staph. Sulpii. Thuj. 

Eruptions in eyebrows. Clem. Cupr. met. Guaj. 
Kali c. Paris. Selen. Sil. Spong. Stann. Tarax. 

Eruptions on ears. Amm. c. Ant. crud. Bar. c. 
Bov. Calc. c. Chin. Cic. Kali c. Mez. Moscli. 
Mur. ac. E'at. mur. Petr. Phos. Puis. Sep. Sil. 
Spong. Staph. Sulph. 

Eruptions, vesicular, on ears. Still, sylv. 

Eruptions on lobes of ears. Sarsap. Teucr. 

Eruptions behind ears. Ant. crud. Bar. c. Calc c. 
Canth. Chin. Cic. Graph. Hep. Mez. Oleand. 
Puis. Sabad. Selen. Sil. Staph. Vine. min. 

Eruptions on and about the nose. Alum. Ant. crud. 
Aur. fol. Calc. c. Canth. Carbo veg. Caps. Caust. 
Chin. Crot. tig. Iris vers. Graph. ISTat. c. Rhus 
tox. Sarsap. Spig. Spong. Tar. 

Eruptions on wing of nose. Carbo veg. Can. Dulc. 
Euphras. i^at. c. Petr. Rhus tox. Sil. Thuj. Ve- 
rat. alb. 

Eruptions on tip of nose. Carbo an. Carbo veg. 
Canst. Mtr. ac. Phos. ac. Sep. Sil. Spong. 

Eruptions in the corners of the nose. Anac. Dulc. 
Euphras. Mang. Plumb, met. Rhus tox. Thuj. 

Eruptions under nose (on septum narium). Arn. Bar. 
c. Bov. Caps. Crotal. hor. Squill. Teucr. 

Eruptions on face. Agar. Agn. Alum. Ailanth. 
Amb. Amm. c. Amm. mur. Ant. crud. Arg. Arn. 
Ars. Aur. fol. Bar. c. Bell. Borax. Bov. Brj. 
Calc. c. Calend. Cann. sat. Canth. Caps. Carbo an. 
Carbo veg. Caust. Cham. Chel. Cicu. Clem. Cocc. 
Colch. Con. Crotal hor. Dig. Dulc. Electr. Eu- 
phorb. Ferr. met. Gelsem. Graph. Hell. Hep. 
Hura bras. Hydrocotjle. Hyosc. Ign. Iris vers. 
Kali bich. Kali c. Kreas. Lach. Lappa maj. Lauro. 
Lyc. Magn. c. Magn. mur. Magn. sulph. Mang. 



REPERTORY. 437 

Merc. sol. Mur. ac. E"at. c. ' 'Eat. mur. iTiTR. ac. 
^iix V. Oleand. Paris. Petr. Phos. Piios. ac. Puis. 
Plant, maj. Psor. Phus tox. Puta. Sabad. Sabin. 
Sarsap. Selen. Sep. Sil. Spong. Staph. Stront. 
SuLPH. Sulph. ac. Tar. Thuj. Yerat. alb. Viol. tr. 
Yinc. mill. Zinc. met. 

Eruptions about and on lips and moutli. Ars. Boy. 
Calc. c. Caps. Carbo veg. Cann. sat. Chin. Chin, 
sulph. Dig. Electr. Graph. Hell. Hep. Ipec. Iris 
vers. Lach. Lauro. Ljc. Mez. Mur. ac. E^at. c. 
IsTat. mur. l!^icc. Mtr. ac. Petr. Phos. Phos. ac. 
Sep. Sil. Spong. Squill. Sulph. Tab. 

Eruptions at corners of mouth. Amra. mur. Ant. 
crud. Bell. Calc. c. Cann. sat. Canth. Carbo veo*. 
Grape. Hep. Ign. Iris vers. Merc. sol. E'at. c. 
Nitr. ac. Petr. Phodo. Phus tox. Sep, Tar. Yerat. 
alh. 

Eruptions on cheeks. Amb. Ant. crud. Cham. Dulc. 
Iris vers. 

Eruption, humid, on face ; dry or moist, fetid scurfs on 
face. Psor. 

Eruption of small granules across forehead. Phus rad. 

Eruption, humid, around nose and mouth. I^at. c. 

Eruption, pustulous, on face, around nose and lips, and 
on the cheeks, secreting a sanious irritating pus. Iris 
vers. Hydrocotyle. 

Eruption (eczematous) on chin, with yellow scurf like 
dried honey. Cic. 

Eruption on upper lip. Phytol. 

Eruptions on chin. Agn. Alum. Ambr. Amm. c. 
Anac. Ant. crud. Bell. Borax. Bov. Calc. c. Canth. 
Caust. Chel. Coc. Clem. Con. Dig. Dulc. Graph. 
Hep. Hyosc. Kali c. Lack. Lye. Magn. arc. Magn. 
aus. Mao-n. c. Merc. sol. Mez. ]^at. c. IS'at. mur. 
Nitr. ac. I^ux mosch. ^ux v. Oleand. Paris. Phos. 
Phos. ac. Plat. Puis. Phus tox. Sabin. Sarsap. 



438 REPERTORY. 

Sep. Sil. Spig. Spong. Squill. Sulph. Tar. Thuj. 
Yerat. alb. Verb. Zinc met. 

Eruption on abdomen. Bell. Bry. Hydrocotyle. 
Merc. sol. 

Eruption in anal region. Oalc c. Carbo veg. Ipec. 
Lye. 

Eruption on genitals (in general). Graph. ]^ux v. 
Rhus tox. Sep. Sulph. Tart. e. 

Eruption on glans penis. Petr. Sep. 

Eruption on scrotum, humid. Graph. Rhus tox. 

Eruption on scrotum, prepuce, glans penis, eyelids, 
arms, and hands ; with swelling of the parts and small 
yellow vesicles, which became confluent and moist, the 
larger suppurating and the smaller degenerating. Rhus 
tox. 

Eruption on mons veneris. Sil. 

Eruption, humid, on inner labia, with swelling. Sep. 

Eruption on labia. Bry, ]^ux v. Se]p. Tart. e. 

Eruption on prepuce. Merc. sol. Rhus tox. 

Eruption on chest. Kali c. Led. Lye. Merc. sol. 
Mez. Rhus tox. Sec. Staph. Tereb. Yal. 

Eruption on back. Alum. Ant. crud. Ars. Bar. c. 
Bry. Carbo veg. Cinnah. Lach. Led. Lye. Magn. 
aus. Merc. sol. ISTat. mur. Puis. nutt. Sep. Squill. 
Staph. Tabac. Tart. e. 

Eruption on shoulders. Alum. Ars. Berb. 

Eruption on loins. Clem. Rhus tox. 

Eruption on scapulae. Ant. crud. Caust. Lach. 
Phos. ac. 

Eruption on neck. Bry. Carbo an. Carbo veg. 
Caust. Cham. Clem. Lappa maj. Lye. Petr. Sec. 

Eruption on arms (in general). Alum. Berb. Bry. 
Carbo an. Caust. Lach. Led. Lye. Merc. sol. Phos. 
Rhus tox. Sabin. Tart. e. Tax. Yal. Zinc met. 

Eruption, pustular, on the arms. Still, sylv. Tart e. 



I 



REPERTORY. 439 

Eruption on forearm. Bry. Carbo an. Canst. Lach. 
Lye. Rhus tox. Tar. Tart e. Yal. Zinc. met. 

Eruption on upper arm. Led. Yip. torv. 

Eruption on elbow. Merc. sol. Phos. Sabin. Zinc, 
met. 

Eruption on bands. Alum. Ars. Carbo veg. Dig. 
Hep. Ipec. Merc. sol. Mur. ac. Nitr. ac. Rhus tox. 
Spig. Sulph. Sulpb. ac. 

Eruption, papular, on back of hands and wrists. Cim- 
icif. Coca. Hep. 

Eruption on fingers. Caust. Corall. Galvan. Graph. 
Mez. 

Eruption, ulcerated, at finger joints. Mez. 

Eruption, like scabies, on finger tips. Sil. 

Eruption on hips and nates. Borax. JSTat. c. Sidph. 

Eruption on thighs. Alum. Calc. c. Cann. sat. 
Caust. Merc. sol. i^ux v. 

Eruption on knees. Anac. Ant. crud. Bry. Carbo 
veg. Kali c. Led. Merc. sol. 'Nnx v. Tereb. 

Eruptions on legs Agar. Petr. Rhus tox. 

Eruptions on feet. Carbo an. Graph. Led. Rhus 
tox. Sulph. Tereb. 

Eruption, vesicular, on lower limbs. Merc. sol. 

Eruption on both thighs, especially inner surface, with 
discharge of burning water after scratching. Merc. sol. 

Eruption on body and extremities. Ailanth. 

Eruption between toes. Petr. 

Eruption, vesicular, below ankles. Graph. 

Eruptions, papular, on forearms, lasting a few days, 
and frequently recurring ; also, small pustules, which die 
SiW'dy without breaking. Kali bich. 

Eruption, papulous, all over, but especially on neck 
and shoulders. Kali hyd. 

Eruption (like " rot " in sheep) on chest and arms, with 
desquamation. Led. 

Eruption, Papulous. Cimicif. Coca. Gelsem. Kali hyd. 



440 REPERTORY, 

Eruption, with corrosive, serous discharge. Graph. 
Grat. Iris vers. 

Eruption, tuberculous. Oleand. Petr. 

Eruption, violet-hued. Ailanth. Caff. Chlor. Co- 
paiv. 

Eruption, crusty, with white scabs, bleeding when 
touched. Mez. 

Eruptions, all over, not elevated, but can be felt on 
skin, discharging pus ; pustules discharge ichor and 
leave pocks of a lardaceous, coppery hue, covering eyes 
and making patient blind. Syphil. 

Eruptions, humid, with corrosive ichor, swelling and 
redness of the parts. Clem. Graph. 

Eruption, dark, sends dampness, w^hich dries into 
crusts. Clem. 

Eruptions, mixed with petechiae. Ars. Sec. 

Eruption, all over, vesicular, with red spots. Hura 
bras. 

Eruptions, with gangrene. Ars. Ranunc. bulb. Ra- 
nunc. sceler. Sec. Tax, 

Eruption appears too early or suddenly. Ars. 

Eruption, dry, size of pin's head, with hollow tip, leav- 
ing red spots when scratched open, on forehead, arms, and 
abdomen. Caust. 

Eruptions, Vesicular. Aeon. Canth. Carbol. ac. 
Clem. Commoc. dent. Dulc. Grara. trich. Hura bras. 
Hydrocotyle. Juglans cin. Kali bich. Merc. sol. Rhus 
tox. Rhus vene. Rumex. Still, sylv. Sulph. Tereb. 

Eruptions, Pustular. Anath. muric. Ant. crud. 
Apis. Carbol. ac. Commoc. dent. Cundur. Hydroco- 
tyle. Iris vers. Alang. Magn. mur. Still, sylv. Syphil. 
Tart. e. Yariol. 

Eruption from wearing flannel. Rumex. 

Eruption in five stages, redness, vesicles, pustules, desic- 
cation, and desquamation. Crotal. hor. 

Eruption, Bulbous. Alum. 



¥ 



REPERTORY. 441 

Eruption, consisting of large maculse and bullse, filled 
witli dark serum. Ailanth. 

Eruptions, pustular and confluent. Anatli. muric. 
Apis. Tart. e. Thuj. Yariol. 

Eruption, with cedematous swelling during desquama- 
tion. Apis. 

Eruptions, Tardy. Ailanth. Bry. Ipec. 

Eruption, Sanguineous (in general). Arn. Ars. Aur. 
fol. Bell. Berb. Bry. Calc. c. Canth. Carbo an. 
Carbo veg. Cham. Chin. Clem. Cocc. Con. Crotal. 
hor. Dulc. Electr. Euphras. Eerr. met. Hep. Hyosc. 
Kreas. Lach. Lauro. Led. Lye. Merc. sol. I^Tat. 
mur. WitY. ac. ISTux mosch. Nux v. Paris. Plumb, 
met. Phos. Puis. Rhus tox. Puta. Sec. Sep. Sil. 
Stram. Staph. Sulph. Sulph ac. Tart. e. Thuj. 

Eruption, sanguineous, on head. Ars. 

Eruption, sanguineous, on eyes. Calc. c. l^ux. v. 

Eruption, sanguineous, on nose, and face, and lips. 
Kat. mur. Sep. Stram. 

Eruption, sanguineous, on arms and hands. Berb. Sec. 

Eruption, sanguineous, on lower limbs. Phos. 

Erysipelas, with gangrene. Aeon. Apis. Ars. Bell. 
Camph. Chin. Chin, sulph. Hyosc. Lach. Mur. ac. 
Rhus tox. Sabin. Sec. Sil. 

Erysipelas, Hard, and in very herpetic subjects. Sulph. 

Erysipelas, highly inflamed. Agon. Ars. Bell. 
Borax. Bry. Camph. Cham. Hep. Lach. Merc. 
SOL. Petr. Phos. Puls. Rhus tox. Sabad. Sulph. 
Zinc. met. 

Erysipelas, with transparent glutinous exudation ; 
erysipelas in streaks. Graph. 

Erysipelas, with swelling. Aeon. Amm. c. Apis. 
Arn. Ars. Bell. Bry. Calc. c. Canth. Carbo veg. 
Caust. Chin. Euphorb. Hell. Bep. Kali c. Lye. 
Magn. c. Merc sol. Rhus venen. Ruta. Samb. Sar- 
sap. Sep. Sil. Sidph. Thuj. Zinc. met. 

30 



442 REPERTORY. 

Erysipelas, Vesicular. Ars. Bell. Cist. Croton 
tig. Euphorb. Graph. Hep. Lack. Phos. Fvls. 
Ranunc. bulb. Ranunc. scel. Rhus tox. Rhus vene. 
Sep. Sulph. Urtica. 

Erysipelas, zone-shaped. Ars. Graph. Puis. Rhus 
tox. 

Erysipelas, with redness, swelling, and gangrene. 
Apis. Ars. 

Erysipelas, suppressed. Phos. ac. 

Erysipelas, with vomiting, on arm. Vip. torv. 

Erysipelas of ears (in general). Lach. Meph. Urtica. 

Erysipelas of ear, with heat, redness, and blisters. 
Meph. 

Erysipelas, Vesicular, of lips, nose, and ears, with 
swelling ; eyelids closed and cedematous ; small, trans- 
parent vesicles filled with serum. Urtica. 

Erysipelas of nose. Canth. Plumb, met. 

Erysipelas of face. Apis Bell. Borax. Calc. 
Camph. Canth. Carho an. Cham. Cist. Crotal. hor. 
Croton tig. Euphorb. Gins. Graph. Gymnoc. can. 
Hep. Hydrast. Lach. Lye. Nitr. ac. Puis. Rhus 
rad. Rhus tox. Rhus vene. Ruta. Sep. Stram. Sulph. 

Erysipelas, with swelling of cheek. Calc. acet. 
* Erysipelas of face, with swelling and desquamation. 
Puis. 

Erysipelas of one side of face. Stram. 

Erysipelas, cedematous and indented eyelid covering 
eye, and large water-blisters on chin. Croton tig. 

Erysipelas under left eye, with pimples, vesicles, and 
rhagades. Lach. 

Erysipelas on abdomen. Graph. Merc. sol. 

Erysipelas near navel with large vesicles. Graph. 

Erysipelas, spreading from back around abdomen. 
Merc. sol. 

Erysipelas on mammse. Cham. Phos. Plant, maj. 
Phytol. Sulph. 



REPERTORY. 443 

Erysipelas on back. Cist. Graph. Merc. sol. Rhus 
tox. 

Erysipelas on arms. Lach. Lye. Petr. Rhus tox. 

Erysipelas at elbow, with corrosive oozing. Lach. 

Erysipelas of forearm. Lye. 

Erysipelas of hands. Graph. Rhodo. Ruta. 

Erysipelas of fingers. Thuj. 

Erysipelas of lower limbs. Borax. Calc. c. Hejp. 
Pals. Sulph. Zinc. met. 

Erysipelas of feet. Puis. Rhus tox. Sulph. Zinc, 
met. 

Erysipelas, excoriating and spreading. Euphorb. 

Erythema, papulous, from sunshine. Aeon. Camph. 
Canth. 

Erythema, papulous (idiopathic). Sulph. Tereb. 

Erythema, pustulous. Arg. nit. 

Erythema nodosum. Sulph. Sulph. ac. 

Erythema, with vesication. Yerat. virid. 

Erythema, with rash-like vesicles. Croton tig. 

Erythema of scalp. Puis. nutt. 

Erythema, bright red or bluish, permanent under 
pressure, mottled with livid patches and deep red spots. 
Chloral. 

Erythema of face and neck. Gelsem. 

Erythema on right cheek, wings of nose and chin, fol- 
lowed by chapping. Gins. 

Erythema of face. Gels. Juglans cin. Hydrocotyle. 

Erythema, spreading from genitals all over. Merc 
dulc. 

Erythema and rash, on face, chest, back, arms, and 
thighs. Hydrocotyle. 

Erythematous Patches, size of a pea, red, rough, scaly, 
on the face, especially the left side. Plant, maj. 

Erythematous swelling of nose. Kali brom. 

Exanthemata, spreading from pit of stomach over ab- 
domen and chest. Merc. viv. 



444 REPERTORY. 

Excrescences (in general). Aeon. Agar. Agn. Alum. 
Ambr. Amm. c. Ant. crud. Arn. Ars. ' Aur. fol. 
Bell. Brj. Calc. c. Carbo an. Carbo veg. Caust. 
Cic. Clem. Coco. Colch. Dig. Enphras. Gtraph. 
Hep. lod. Kali c. Kreas. Lack. Lyc. Magn. aus. 
Mano;. Merc. sol. Mez. I^at. c. Nat. mur. I!^itr. ac. 
Nux V. Petr. Phos. Phos. ac. Flumb. met. Puis. 
E-anunc. bulb. Rhodo. Bhus tox. Sabad. Sahin. Selen. 
Sep. SiL. Spong. Stanu. Staph. Stjlph. Sulph. ac. 
Tart. e. Thuj. Zinc. met. 

Excrescences on glans penis, small, flesh-colored, emit- 
ting a fetid humor and bleeding when touched. Mtr. 
ac. 

Excrescences on second toe, wart-shaped, leaving a 
white cicatrix. Spig. 

Excrescences on inner surface of prepuce, like fig-warts, 
red ; also, smooth.^ red^ behind glans penis, under prepuce. 
Thuj. 

Excrescences, Fleshy. Mtr. ac. Staph. Thuj. 

Excrescences, Horny. Ant. crud. Ranunc. hulh. Sulph. 

Excrescences, Humid. Mtr. ac. 

Excrescences on genitals. Cinnab. Euphras. Lyc. 
Magn. ars. Nitr. ac. Phos. ac. Sabin. Staph. Tlivj. 

Excrescences on soles of feet. Ant. crud. Puis. 

Excrescences on toes. Ant. crud. Spig. 

Felons, SUPERFICIAL, inflammation of nail root. Graph. 
Kat. Sulph. 

Felons with proud flesh. Lach. Sil. 

Felons from external hurts. Led. 

Felons, inflammation extending to sheaths of tendons 
and ligaments of joints. Merc. sol. 

Felons, with erysipelatous redness. ISTat. sulph. Rhus 
tox. 

Felons, with deep-seated inflammation and bone affec 
tion. Sil. 



REPERTORY. 445 

Felons at root of nails, with swelling of whole phalanx. 
IvTat. Sulph. 

Felons after Apis. Sulph. 

Felons after Sulphur. Apis. 

Freckles on face. Alum. Amm. c. Calc. e. Graph. 
Ljc. Mur. ac. I^at. c. ^ux mosch. Sulph. 

Freckles on chest. Nitr. ae. Sep.? 

Freckles on lower limbs. Phos. 

Fissures, Bleeding. Merc. sol. Mcc. c. Petr. Puis. 
Sarsap. Sulph. 

Fissures, yellow and fetid. Merc. sol. 

Fissures, ulcerated. Bry. Merc. sol. 

Fissures after washing, working in water or getting 
wet. Ant. crud. Bry. Calc. c. Cham. Kali c. Lye. 
Mtr. ac. PuLS. Ehus tox. Sarsap, Sep. Sulph. Zinc, 
met. 

Fissures in scalp. Euta. 

Fissures in nose. Ant. crud. Carbo an. ^Terc. sol. 

Fissures about and on lips and mouth. Alum. Amm. 
c. Amm. mur. Am, Ars. Arum triph. Bor. c. Bell. 
Berb. Bov. Bry. Calc. Canth. Caps. Carbo an. 
Carbo veg. Cham. Chin. Colch. Coral. Croc. Bros. 
Electr. Gins. Graph. Grat. Hep. Ign. Kali c. Kali 
hj^d. Kreas. Magn. mur. Mang. Mez. JS'at. mur. 
Mtr. ac. Oleum an. Paris. Petr. Phos. Phos. ac. 
Puis. Sabad. Selen. Squill. Staph. Sulph. Tabac. 
Tarax. Tart. e. Yerat. alb. Sulph. Zinc. met. 

Fissures on arms. Sil. 

Fissures on hands. Alum. Bals. peru. Graph. Kali e. 
Kreas. Lach. Magn. c. Merc. sol. Nat. c. Nat. mur. 
Nitr. ac. Petr. Sil. Zinc met. 

Fissures on fingers. Bar. c. Kali c. Mang. Merc. 
sol. Petr. Phos. Zinc. met. 

Fissures in joints of fingers. Mang. Phos. Sulph. 

Fissures in soles of feet. Arsen. 

Fissures in heels. Lye. 



446 REPERTORY. 

Fissures in toes. Carbo an. Lack. 

Fissures in feet in general. He/p. 

Fungus Articularis after measles. lod. 

Fungus Hjematodes on right breast, large as a peony, 
with profuse haemorrhages. Lach. 

Ganglia on hands. Ainm. c. Magn. mur. Fhos. ac. 
Plumb, met Ehodo. Sil. 

Ganglia on backs of hands. Sil. Zinc. met. 

Ganglia on back of hand, between third and fourth 
metacarpal bones. Sil. 

Ganglia on wrists. Amm. c. Aur. mur. Carbo veg. 

Ganglia on feet. Ferr. mur. 

Gangrene, humid. Chin. Chin, sulph. Hell. Phos. 
Yip. red. 

Gangrene, hot. Aeon. Ars. Bell. Mur. ac. Sabin. 
Sec. 

Gangrene, cold. Ars. Asaf. Bell. Con. Uuphorb. 
Lach. Merc. sol. Plumb, met. Ranunc. bulb. Sec. Sil. 
Squill. Sulph. Sulph. ac. Tart. e. 

Gangrene in spots. Ars. Crotal. hor. Gycl. Hyosc. 

Gangrene, Black, and on nose. Sec. 

Gangrene of genitals. Ars. Canth. Lauro. Plumb, 
met. Sec. 

Gangrene on arms. Hyosc. Ranunc. bulb. Sec. 

Gangrene of .lower limbs and feet. Sec. 

Gangrene of feet. Ant. crud. Sec. Tart. e. Yip. 
torv. 

Gangrene separated from flesh by putrid fluid, with 
black spots, red areola, and dark subadjacent tissues. 
Crotal. hor. 

Glands, Blue. Arn. Ars. Aur. fol. Carbo an. Car- 
bo veg. Con. Hep. Lach. Mang. Merc. sol. Puis. 
Sil. Sulph. ac. 

Glands dwindling, withering. Ars. Cham. Chin. 
Can. loD. Kali c. Nitr. ac. ISTux mosch. Phos. ac. 
Sec. Sil. Yerat. alb. 



REPERTORY. 447 

Glands, hard, indurated. Agn. Amb. Amm. c. Ant. 
crud. Arn. Ars. Aur. fol. Bar. c. Bar. miir. Bell. 
Bov. Bry. Calc. c. Camph. Cann. sat. Canth. Caps. 
Carbo an. Carbo VEa. Caust. Cham. Chin. Clem. 
Cocc. Coloc. Con. Cupr. met. Cycl. Dig. Dulc. 
Ferr. met. Graph. Hep. Hyos. Ign. Iod. Kali c. 
Lyc. Magn. mur. Mang. Merc. sol. ITat. c. Nitr. ac. 
I^ux V. Petr. Phos. Plumb, met. Puis. Rhode. 
Phus tox. Sep. SiL. Spig. Spong. Staph. Sulph. 
Thuj. Yerat. alb. 

Glands covered with herpes. Dulc. Graph. 

Glands under lower jaw aifected. Amm. c. Amm. 
mur. Arg. fol. Arn. Ars. Aur. fol. Bar. c. Bell. 
Calc. c. Chin. Cic. Clem. Croc. Corall. Crot. tig. 
Dulc. Graph. Ign. Iod. Kali c. Kreas. Led. Lyc. 
Magn. arc. Magn. aus. Magn. c. Merc. sol. Mez. 
Kat. c. ^AT. mur. Nitr. ac. Petr. Phos. Phos. ac. 
Puis. Rhus tox. Sep. Sil. Spong. Squill. Stann. 
Staph. Sulph. ac. Yerat. alb. Zinc. met. 

Glands, Inguinal, affected. Ars. Aur. fol. Calc. c. 
Carbo veg. Clem. Dulc. Graph. Hep. Iod. Lyc. 
Merc. sol. I^at. c. I^itr. ac Phos. Stann. Stram. 
Staph. Sulph. Thuj. Tereb. 

Glands of axilla affected. Amm. c. Amm. mur. Ars. 
Bar. c. Bell. Calc. c. Carbo an. Clem. Coloc. 
Cupr. met. Hep. Iod. Kali c. Lyc. Nat. mur. Ii^itr. 
AC. Phos. Phos. ac. Rhus tox. Sep. Sil. Staph. 
Sulph. Sulph. ac. 

Glands of neck affected. Alum. Amm. c. Am. Bar. 
mur. Bell. Calc c Caps. Carbo an. Carbo veg. 
Caust. Cmnab. Cist. Cupr. met. Electr. Ferr. met. 
Graph. Hell. Ign. Kalic. Kreas. Lach. Lyc Magn. 
mur. Merc sol. Nat. c. l^at. mur. Mtr. ac Phos. 
Puis. Selen. Sil. Spig. Spong. Sulph. Tart. e. Yiol. tr. 

Glands of nape of neck. Bar. c. Calc. c. Hell. Iod. 
Mur. ac. Petr. Phos. Sil. Sulph. 



448 REPERTORY. 

Herpes, BLEEDma. Dulc. Lye. 

Herpes, Brown, and yellow-brown. Dulc. Lye. 

Herpes with rhagades. Graph. Lye. Magn. ae. ]N"at. 
mur. 

Herpes, Dry. Amra. e. Clem. Dolieh. Dulc. Kali 
hyd. Kreas. Led. Merc. sol. Mcc. c. Mtr. ac. Phos. 
Phos. ae. Rhus tox. Staph. Sulph. Tax. Thuj. Yerat. 
alb. 

Herpes alternating with dysenteric stools and pains in 
the chest. Rhus tox. 

Herpes, Furfuraceous. Ars. Bry. Dulc. Kreas. 
Led. Lye. Merc. sol. Phos. Sulph. . 

Herpes, grayish-yellow. Sulph. 

Herpes, Humid. Alum. Amm. e. Anath. murie. 
Bar. e. Bov. Calc. c. Caps. Carbo veg. Caust. Cie. 
Clem. Con. Dulc. Graph. Grat. Hell. Hep. Kreas. 
Led. Lyc. Merc. sol. Mez, ITat. c. ISTat. mur. Oleand. 
Phos. ac. Rhus tox. Sep. Sil. Sulph. Syphil. 

Herpes, Inflamed. Amm. e. Graph. 

Herpes, Mercurial. Aur. fol. Moseh. Mtr. ac. 

Herpes, Pale Red. Clem. Dulc. 

Herpes, with pustules. Crot. tig. Kreas. 

Herpes, Raised. Magn. e. Mere. sol. Tellur. 

Herpes, Red. Amm. e. Ars. Clem. Dulc. Kreas. 
Lack. Magn. c. Magn. sulph. Oleand. Sulph. Tax. 
Tellur. 

Herpes, with red areola, sensitive to cold water and 
touch. Dulc. 

Herpes, Round. Dulc. Hell. Phos. 

Herpes, Scurfy, Scaly, Scabby. Anac. Ars. Bov. 
Calc c. Cie. Clem. Coloc. Con. Cupr. met. Dulc. 
Graph. Kreas. Lach. Led. Lyc. Magn. c. Merc 
SOL. ISTat. mur. Phos. Sep. Staph. Sulph. Teucr. 
Thuj. 

Herpes, Small and Smooth. Dulc. Lach. Magn. c. 
Magn. sulph. 



REPERTORY. 449 

Herpes, Spreading. Alum. Caps. Carbur. sulph. 
Dulc. Merc. sol. 

Herpes, Suppressed. Alum. Amb. Calc. c. Lack. 
Lye. Nat. c. Sep. Sulph. 

Herpes, Suppurating. Clem. Dulc. Lye. Merc. sol. 
:N'at. c. 

Herpes, Syphilitic. Moscb. Mtr. ac. Thuj. 

Herpes, with vesicles. Crot. tig. Nitr. ac. Sulph. 

Herpes, Whitish. Anac. Thuj. Zinc. met. 

Herpes, Yellow. Carbur. sulph. Cupr. met. Dulc. 
Hell. Lye. Sulph. 

Herpes, with yellow-brown scales. Carbur. sulph. 
Cupr. met. Dulc. 

Herpes phlyctjenoides, on dorsum of left hand ; vesi- 
cles on red swollen base, containing opaque yellow fluid, 
which forms thick, yellow scabs. Carbur. sulph. 

Herpes, with small white vesicles in groups, forming 
scab over whole face, especially above nose and around 
eyes. Sulph. 

Herpes Circinatus. Red, elevated rings, distinctly 
marked, especially on lower extremities. Tellur. 

Herpes, with thick crusts. Clem. Lye. Sulph. 

Herpes, red and humid while moon increases, and pale 
and dry while it decreases. Clem. 

Herpes, Corroding. Caps. Clem. G-rat. E'at. mur. 

Herpes, in spots. Crotal. hor. Graph. Hyosc. Lye. 
Merc. sol. Mur. ac. IS'at. mur. Phos. Sabad. Sarsap. 
Sep. Sil. Sulph. Zinc. met. 

Herpes on head. Bar. c. Cupr. met. Kali c. Petr. 
Rhus tox. 

Herpes on eyelids. Bry. Rhus tox. Sep. 

Herpes in external canthus of left eye. Tax. 

Herpes on ears. Amm, mur. Caust. Cist. Graph. 
Kreas. Magn. mur. Oleand. Sep. Teucr. 

Herpes behind ears. Amm. mur. Graph. Mez. 
Oleand. Sep. 



450 REPERTORY. 

Herpes on nose. [NTat. c. Mtr. ac. Spig. 

Herpes on face. Alum. Aimn. c. Anac. Ars. Bar. 
c. Bov. Bry. Calc. c. Caps. Carho veg. Caust. Chel. 
Coloc. Con. Dulc. Graph. Hep. Kali hyd. Kreas. 
Lach. Led. Lye. Merc. sol. ITat. c. Js'at. mur. 
Mcc. c. W\ii\ ac. Petr. Phos. Phos. ac. Rhus tox. 
Sabad. Sep. Sil. Sulpli. 

Herpes on forehead. Badiag. Caps. 

Herpes in whiskers. Lach. W\tv. ac. 

Herpes on cheeks. Agn. Amb. Anac. Bov. Bry. 
Caust. Kali hyd. Merc. sol. Mcc. c. 

Herpes on chin. Bov. Carbo veg. Chel. Kat. mur. 
!N"ux. V. Phos. ac. Sil. 

Herpes on and about lips and mouth. Anac. Ars. 
Carbo veg. Caust. Magn. c. ^tTat. c. I^at. mur. 
Mcc. c. Paris. Phos. Rhus tox. Sarsap. Sep. Syphil. 

Herpes at corners of mouth. Carbo veg. Lye. Phos. 
Sep. 

Herpes about the anus and perineum. Ipec. l^at. 
mur. Petr. 

Herpes on scrotum. Crot. tig. Crotal. hor. ITat. 
mur. 

Herpes between scrotum and thigh. Petr. 

Herpes on prepuce. Sarsap. 

Herpes on labia. Dulc. 

Herpes on chest. Magn. c. Fetr. Staph. 

Herpes on mammse and nipples. Caust. Dulc. 

Herpes in axilla. Carbo an. Lye. Sep. 

Herpes on the neck. Lach. Sep. 

Herpes on nape of neck. Caust. Lye. Petr. Sep. 
Sulph. 

Herpes on arms (in general). Con. Cupr. met. Dolich. 
Dulc. Grat. Hell. Kreas. Lach. Lye. Magn. sulph. 
Mang. Merc. sol. E'at. mur. Fhos. Sep. 

Herpes in bend of elbow. Cupr. met. Kreas. Sep. 
Thuj. 



REPERTORY. 451 

Herpes on upper arm. Grat. Magn. sulph. 

Herpes on forearm. Con. Magn. sulph. Mang. Merc. 
SOL. ITux V. 

Herpes on wrists. Merc. sol. 

Herpes on hands. Dulc. Ipec. Kreas. Merc. sol. 
!N'at. c. Sarsap. Sep. Staph. Yerat. alb. Zinc. met. 

Herpes on backs of hands, i^at. c. Sep. 

Herpes on palms of hands. Lycoper. escul. 

Herpes on fingers. Amb. Caust. Graph. Merc, 
sol. Mtr. ac. 

Herpes on third finger of left hand. Caust. 

Herpes between thumb and index finger. Ambr. 

Herpes between fingers. Ambr. Merc. sol. Nitr. ac. 

Herpes on nates and hips. Borax. Caust. Mcc. c. 

Herpes on thighs. Graph. Kali c. Merc. sol. Mur. 
ac. Nat. mur. Mtr. ac. 

Herpes on knees. Ars. Carho veg. Dulc. Grajph. 
Xreas. Merc. sol. E'at. mur. Fetr. Phos. 

Herpes on calves of legs. Ars. Calc. c. Dolich. 
Grapk. Kali c. Lack. Lye. Magn. c. Sarsap. Staph. 

Herpes on feet and ankles. Nat. mur. Fetr. Sulph. 

Herpes on toes. Alum. 

Herpes on edge of tibia. Graph. Lye. 

Herpes on the back. Lach. Zinc. met. 

Herpes in the bend of the knee. i^at. mur. 

Herpes in bends of all joints. Staph. 

Intertrigo, with rawness of opposed surfaces. Carbo 
veg. Merc. sol. 

Intertrigo oozing freely. Bar. c. Graph. 

Intertrigo bleeding much. Lye. Merc. sol. 

Intertrigo oft'ensive in smell. Lycop. 

Intertrigo with transparent glutinous discharge. 
Graph. 

Intertrigo with rhagades. Agn. Phos. 

Intertrigo from walking or riding horseback. Ruta. 
Sulph. ac. 



452 REPERTORY. 

Intertrigo, with ulceration and gangrene. Sulph. ac. 

Intertrigo spreading by pimples beyond the main ex- 
coriation becoming merged into the old sore. Hep. 

Intertrigo in bend of joints. Mang. Oleum an. Sep. 
Squill. 

Intertrigo behind ears. Graph. Petr. Sulph. 

Intertrigo about nipples. Anath. muric. Bals. peru. 
Phytol. 

Intertrigo about arms. Amm. c. Agn. 

Intertrigo between thighs. Amm.c. Borax. Cham. 
Graph. Hydras. Ign. Eh us tox. Sulph. 

Intertrigo between toes. ^N'at. c. 

Lepra Vulgaris, obstinate, on arms. Iris ver. 

Leprosy, loss of sensation ; toes fall off. Lach. 

Lichen, little tubercles with hard scurf on instep ; with 
red and thickened skin, ^uxjug. 

Lichen in face and behind ears ; dry and pimply, skin 
rough. Staph. 

Lupus exedens ; abundant discharge of pus. Hydroco- 
tyle. 

Lupus, suppurating. Calc. c. Hydroc. Sulph. 

Lupus, sarcomatous. Bar. c. 

Lupus on head. Calc. c. Lye. 

Lupus on face. Cist. 

Lupus on lobes of ears. Mtr. ac. 

Lupus on the elbows. Hep. 

Macule of old people. Ars. Bar. c. Con. Lach. 
Yip. red. 

Measles, after-effects. Ars. Bry. Dulc. lod. l^ux 
V. Fhos. Puis. Phus tox. 

Measles, Suppressed. Phos. Puis. Phus tox. 

Measles, burning heat, alternating with cold extremi- 
ties. Ye rat. alb. 

Measles, eruption livid. Lach. 

Measles, eruption tardy in appearing. Ipec. Yerat. 
alb. 

Measles pronounced catarrhal symptoms. Gelsem. 



REPERTORY. 453 

Nails Decayed. Alum. Graph. Merc, sol. Sabad. 
Sep. Sil. Sulph. 

Nails, Brittle, breaking off. Alum. Calc. c. Graph. 
Merc. sol. Sabad. Sep. Sil. Sulph. Thuj. 

Nails, Discolored. Ant. crud. Ars. Gra'ph. Mur. 
ac. Nitr. ac. Sil. Sulph. Thuj. 

Nails, Distorted. Alum. Calc. c. Grajph. Hydro- 
cotyle. Merc. sol. Sabad. Sep. Sil. Sulph. 

Nails Fall Off. Ars. Hell. Graph. 3Ierc. sol. 
Sec. Sep. 

Nails Grow into Flesh. Colch. Graph. Kali c. 
Magn. ars. Sil. Sulph. Teucr. 

Nails, Split. Sil. Sulph. 

Nails, Thickened. Alum. Calc. c. Graph. Merc, 
sol. Sabad. Sep. Sil. Sulph. 

Nails Grow into Flesh, especially of great toe. Magn. 
ars. 

N^vi Materni, bright red, round, flat aneurisms by an- 
astomosis, bleeding profusely when touched or wounded. 
Carbo veg. 

NiEvi Materni, arterial capillaries. Calc. c. Lye. 

N^vi Materni, venous capillaries. Carbo veg. Lye. 
Nux V. 

Nettle-rash coming out after scratching. China. 

Nettle-rash in spots. Eerb. Copaiv. Merc. sol. 

Nettle-rash after Fuls. Sulph. 

Nettle-rash, vesicular. Psor. Triost. Urtica. 

Nettle-rash in nodules. Puis. nutt. Urtica. 

Nettle-rash changing to red spots. Merc. sol. 

Nettle-rash, frequent attacks, with fine vesicles on the 
top, which dry up and scale off. Psor. 

Nettle-rash, irregular, round nodules, elongated and 
annular, with a red base turning white when scratching. 
Puis. nutt. 

Nettle-rash, with redness and swelling. Rhus tox. 

Nettle-rash breakino^ out durino; a walk in cold air 
and disappearing in a warm room. Sep. 



454 REPERTORY. 

I!Tettle-rash attending or preceding rheumatism. Ur 
tica. 

]^ETTLE-RASH on face. Ant. crud. Sep. Triost; 

^N'ettle-rash on genitals. Tart. e. 

ITettle-rash on back. Sil. 

]N'ettle-rash on chest. Sep. Triost. 

]^ETTLE-RASH On arms. Berb. Sep. Triost. 

E"ettle-rash on hands. Berh. Euphorb. Hejp. Hy- 
peric. I^at. c. Nat. mur. ^at. sulph. Sulph. 

E'ettle-rash on fingers. Hejp. Hyperic. Urtica. 

E'ettle-rash on hip. Sulph. 

J^ETTLE-RASH ou thigh. Caust. Zinc. met. 

I:Tettle-rash on legs. Aur.fol. 

JSToDOSiTiES in general. Agn. Amm. c. Ant. crud. 
Arn. Aur. fol. Borax. Gale. c. Carho an. Canst. 
Clem. Cic. Dig. Graph. Hep. Lach. Led. Lye. 
Mere. sol. Mtr. ac. Phos. Puis. Eanunc. bulb. Rhus 
tox. Ehus vern. Sahin. Sep. Sil. Staph. Sulph. 

JS^ODOSiTiES, Horny. Ant. erud. Graph. 

Nodosities, Red. Cann. sat. lod. Kali bich. Sabad. 
Thuj. 

IToDosiTiES, OoziNa. Staph. 

IN'oDOSiTiES on wrists. Calc. c. 

E"oDOSiTiES on finger joints. Agn. Calc.c. Clem. Graph. 
Lye. Sulph. 

I^ODOSiTiES, blue-red, with desiccated points at tip, on 
both mammae. lod. 

^N'oDOSiTiES, large, with red swelling on nose. Cann. 
sat. 

]^0D0siTiES on face. Cann. sat. Magn. c. Puis. Rhus 
vern. Thuj. 

I^ODOSiTiES on temples. Magn. c. Thuj. 

IToDOSiTiES on arms. Magn. c. Sabad. 

isroDOSiTiES on hands. Graph. 

IJ'^ODOSITIES on thighs and legs. Kali bich. Laeh. Phos. 
Therid. 



REPERTORY, 455 

Nodosities on feet. Lye. (Soles of feet.) Sil. 

Nodosities, white, on toes. Thuj. 

Nodosities in axilla, and in front of left shoulder. 
Magn. c. 

Nodosities, hard, reddish, with depressed dark scurf in 
centre, surrounded by an inflamed base, on thighs and 
legs. Kali bich. 

Papules in groups. Copaiv. Hydrocotyle. 

Papules, Ked. Gum. gut. Plant, maj. 

Papules on hands, first pale and then red. Gum. gut. 

Papules, Purple. Hydrocotyle. 

Papules on face ; hard, white, flat, isolated ; thighs, 
with a red point in centre ; yellow exudation forming a 
crust. Plant maj. 

Pemphigus, each bullae surrounded by an inflamed, red 
base. Rhus tox. 

Petechia. Ailanth. Berb. Canth. 

PETECHiiE, small, dingy and red, with spots on forearms 
and backs of hands. Berb. 

Phlyct^n^e, especially on the extremities. Elaps. cor. 

Petechi^-like Spots. Arn. Ars. Bell. Berh. Bry, 
Con. Hyosc. Lack. Led. Nux v. Bhos. Rhus tox, 
Puta. Sec. Sil. Stram. Sulph. ac. 

Pimples in general. Agon. Agar. Agn. Alum. 
Amb. Amm. c. Amm. mur. Anac. Ang. Ant. crud. 
Arg. fol. Arn. Ars. Asaf. Asar. Aur. fol. Aur. 
mur. Bar. c. Bar. mur. Bell. Berb. Bism. Borax. 
Bov. Bry. Calad. Calc. c. Camph. Cann. sat. 
Canth. Caps. Carbo an. Carbo veg. Caust. Cham, 
Chel. Chin. Cic. Cinnab. Clem. Cocc. Coft^ Colch. 
Coloc. Con. Corall.. Crotal. horr. Crotal. cascav. 
Croc. Cupr. met. Cycl. Dig. Dulc. Electr. Euphorb. 
Euphr. Graph. Grat. Guaj. Hell. Hep. Hydras. Hy- 
droco. Jatroph. Ign. lod. Ipec. Kali bich. Kali c. 
Kali chlor. Kali hyd. Kreas. Lach. Lauro. Lye. 
Magn. arc. Magn. aus. Magn. c. Magn. mur. Magn. 



456 REPERTORY. 

sulph. Mang. Meny. Merc. sol. Mez. Mosch. Mur. 
ac. N^at. c. J^at. mur. I^at. siilpb. ITitr. ac. ^ux 
mos. i^ux V. Oleand. Oleum an. Op. Paris. Petr. 
Phos. Phos. AC. Plat. Puls. Eanunc. bulb. Ea- 
nunc. scler. Ehodo. Ehus tox. Euta. Sabad. Sabin. 
Samb. Sarsap. Sec. Selen. Seneg. Sep. Sil. Spig. 
Spong. Squill. Stann. Staph. Stram. Stront. Sulph. 
Tab. Tarax. Tart e. Tereb. Teucr. Thuj. Yal. 
Yerat. alb. Verb. Yiol. od. Yiol. tr. Yip. red. Yip. 
torv. Ziiw. met. 

Pimples, acuminated. Ant. crud. Ars. Dulc. Tart. e. 

Pimples, Acne-like. Bell. Carbo veg. Hep. Lach. 

Pimples, Black. Carbo veg. Spig. 

Pimples, Bleeding, sanguineous. Paris. Ebus. rad. 
Stront. Thuj. 

Pimples close together. Cham. Staph. Thuj. Yerat. 
alb. 

Pimples bleed when scratched. Arg. nit. Menesper. 
coc. Mosch. 

Pimples in clusters. Berb. Cham. Lye. Yerat. alb. 

Pimples, Confluent. Cic. Hyosc. Mur. ac. Phos. 
ac. Yal. 

Pimples cracked open. Merc. acet. 

Pimples with crusts. Calc. c. Merc. sol. Squill. 

Pimples, Dry. Bov. Hyosc. lod. Kreas. Sarsap. 

Pimples, Flat, broad. Ant. crud. Berb. Taxus. 

Pimples with green crusts. Calc. c. 

Pimples, Hard. Bov. Calad. Ehus tox. Sabin. 
Taxus. Yal. 

Pimples, Humid, moist. Calc. c. Graph. Kali c. 
Nat. sulph. Oleum an. Puis. Sil. Sulph. Thuj. Zinc, 
met. 

Pimples, moist after scratching. Calc. acet. Xali nit. 

Pimples, Inflamed. Agar. Arn. Berb. Kali c. Pedic. 
cap. Petr. 

Pimples, Miliary. Agar. Amm c. Ant. crud. Ars. 
Cocc. Elaps. cor. Grat. Kali c. Kreas. Pedic. cap. 






REPERTORY. 457 

Pimples, Pock-shaped. Ant. crud. Am. Ars. Petr. 
Tart. e. 

Pimples Raised, elevated. Bry. Crotal cascav. Taxus. 
Yal. 

Pimples, Red. Aeon. Alum. Anim. c. Anath. mu- 
ric. Ant. crud. Arn. Bell. Berb. Bov. Bry. Calad. 
Calc. phos. Carbo veg. Caust. Cham. Chel. Cic. 
Cina. Cocc. Crotal. cascav. Crotal. hor. Cycl. Dros. 
Dulc. Elaps. cor. Hura bras. lod. Kali c. Lack. 
Led. Lye. Magn. c. Mez. Pedic. cap. Phos. Fhos. 
ac. Plumb, met. Rhodo. Rumex. Sarsap. Sep. Spig. 
Squill. Staph. Stront. Sulph. Taxus. Teucr. Thuj. 
Val. Yerat. alb. Zinc. met. 

Pimples with red areola. Anac. Berb. Bov. Calad. 
Canth. Cycl. Elaps. cor. Nitr. ac. Pedic. cap. Phos. 
ac. Samb. Tarax. Thuj. 

Pimples, Scaly, Scurfy. Bell. Calc. c. Carbo an. 
Cham. Con. Dros. Hep. Mang. Merc. sol. Mur. 
ac. Oleand. Petr. Rhus rad. Sabin. Staph. 

Pimples like Scabies. Ant. crud. Arg. nit. Bar. 
mur. Bry. Con. Kali hyd. Kreas. Rhus tox. Selen. 
Squill. Tart. e. 

Pimples, Suppurating, Amm. mur. Anthrak. Ant. 
crud. Ars. Aur. fol. Bar. c. JBell. Berb. Calad. 
Calc. phos. Canth. Caust. Cham. Cic. Clem. Cocc. 
Con. Croton. tig. Cycl. Dulc. Elaps. cor. Graph. 
Grat. Hep. B[ydroc. Hyosc. Kali bich. Kali c. 
Kali chlor. Kreas. Lach. Lye. Magn. arc. Magn. c. 
Magn. mur. Merc. sol. Mez. Nitr. ac. Op. Fetr. 
Phos. ac. Plumb, met. Puis. Rhus tox. Samb. Sar- 
sap. Sec. Sep. Sil. Spig. Staph. Stram. Sulpfj. 
Tarax. Tart. e. Thuj. Yerat alb. Zinc. met. 

Pimples, transparent and semi-transparent. Berb. Con. 

Pimples about (surrounding) ulcers. Cham. Sulph. 

Pimples full of water. Coloc. Thuj. 

Pimples, Whitish. Ars. Bov. Calad. Carbo veg. 

31 



458 REPERTORY. 

Chel. Coloc. Con. Cjcl. Dulc. Elaps. cor. Kali c. 
Magn. arc. Magn. mur. Mang. ISTat. c. Nat. mnr. 
Pedic. cap. Petr. Phos. ac. Staph. Sulph. Yal. Zinc, 
met. 

Pimples with white tips. Ant. crud. Ars. Crotal. 
cascav. Hura bras. Phos ac. Puis. Tart. e. 

Pimples with yellow tips. Ant. crud. Grat. Magn. 
mur. Zinc. met. 

Pimples changing to ulcers. Merc. sol. Nitr. ac. Phos. 
ac. 

Pimples, Smooth. Mez. Phos. ac. 

Pimples with a black point in centre. Calc. sulph. 
Crotal. cascav. 

Pimple changing to a wart. Canst. 

Pimples preceded by itching, and brought out by 
scratching. Bry. Graph. Merc. sol. 

Pimples size of a millet or lentil. Aeon. Ars. Bov. 
Cic. Phos. ac. 

Pimples, Large. Ant. crud. Bell. Con. Hura bras. 
Spong. Taxus. 

Pimples like vesicles. Ant. crud. Pedic. cap. Puis. 

Pimples, Purulent. Anthrak. Nux v. Paris. Thuj. 

Pimples, Small. Ant. crud. Arg. nit. Ars. Berb. 
Bry. Hura bras. lod. Kali bich. Led. Merc. sol. 
Mosch. Nux V. Pedic. cap. Pumex. Selen. Sep. 
Staph. Thuj. Yal. Zinc. met. 

Pimples with pus in tip. Anac. Berb. Graph. Squill. 
Staph. Thuj. 

Pimples filled w^ith an acrid fluid. Aeon. Con. Graph. 

Pimples filled with serum. Aeon. Ars. Elaps. cor. 
Puis. Ehus rad. 

Pimples with yellow-brown scurf, or crusts. Ant. crud. 
Calc. acet. Kreas. 

Pimples on scalp. Agar. Alum. Anac. Ant. crud. 
Amb, Arg. fol. Ars. Bar. c. Bar. mur. Berb. Bov. 
Calc. c. Clem. Con. Crotal. cascav. Cycl. Hell. Hep. 



REPERTORY. 459 

Kali c. Led. Lye. Magn. arc. Mur. ac. ^at. c. Nat. 
mur. N'ux v. Oleand. Paris. Petr. Puis. Rhus tox. 
Sil. Tarax. Zinc. met. 

Pimples on eyelids. Alum. Canth. Chel. Hep. Lye. 
]^at. mur. Rhus tox. Selen. Seneg. 

Pimples on ears. Agar. Amm. c. Berb. Cic. Kali 
c. Kreas. Mur. ac. ]N'at. mur. Petr. Phos. Sabad. 
Selen. Spong. Staph. Yerb. 

Pimples behind ears. Pallad. 

Pimples below ears (on neck). Selen. 

Pimples on nose. Amm. c. Anac. Arn. Bar. c. 
Bell. Bov. Calc. c. Canth. Carbo. veg. Caust, 
Clem. Cocc. Dulc. Euphr. Graph. Gruaj. Kali c. 
Kali hyd. Lach. Magn. ac. Maug. Nat. e. Nat. inm\ 
Oleum an. Oxal. ac. Pallad. Petr. Phos. Phos. ac. 
Ratanh. Sep. Sil. Sulph. Tarax. Taxus. Teucr, 
Thuj. 

Pimples on face. Aeon. Agar. Alum. Ambr. 
Amm. c. Amm. mur. Ant. crud. Arn. Ars. Asclep. 
tuber. Aur. fol. Bar. c. Bell. Berb. Borax. JBov, 
Bry. Calc. c. Canth. Carbo an. Carbo veg. Caust. 
Cham. Chel. Cic. Clem. Cocc. Coloc. Con. CrotaL 
horr. Bros. Dulc. Eugen. Grappi. Hep. Indig. Kali 
c. Kali chlor. Kali hyd. Kreas. Lach. Led. Lyc. 
Magn. c. Magn. mur. Magn. sulph. Menisper. can. 
Meph. Meny. Merc. sol. Mosch. Mur. ac. I^abul. 
serp. ]^at. c. JSTat. mur. I^at. sulph. Nitr. ac. ]^ux 
V. Oleum an. Pallad. Pedic. cap. Petr. Phos. Phos. 
AC. Psor. Rhodo. Rhus rad. Rhus tox. Sabin. 
Sarsap. Sep. Sil. Stann. Staph. Sulph. Tabac. 
Tarax. Tart. e. Thuj. Yerat. alb. Yinc. min. Zinc, 
met. 

Pimples in faces of very young persons. Carbo veg. 
Hep. 

Pimples on forehead. Aeon. Ars. Berb. Calc. c. 



460 REPERTORY. 

Gelsem. Hep. Hura bras. Kali chlor. Kreas. Led. 
Mepli. Mtr. ac. Paris. Pedic. cap. 

Pimples on chin. Alum. Ambr. Anac. Ant. 
crad. Bell. Berb. Calc. c. Canth. Canst. Cic. 
Clem. Con. Dros. Dulc. Hep. Hydrast. Hyosc. 
Kali chlor. Kreas. Laaro. Lye. Magn. aus. Merc, 
viv. I^abul. serp. i^at. c. ITat. sulph. Mtr. ac. ITux 
mosch. ISTux. v. Oleand. Paris. Phos. ac. Rhus tox. 
Sabin. Sarsap. Sep. Sil. Spig. Spong. Sulph. Thuj. 
Verat. alb. Verb. Zinc. met. 

Pimples about lips and mouth. Aeon. Amm. mur. 
Ant. crud. Bcu\ c. Bell. Berb. Bov. Bry. Calc. c. 
Cann. sat. Canth. Caps. Carbo veg. Caust. Chin. 
Chin, sulph. Coloc. Con. Dulc. Elaps. cor. Graph. 
Hep. Hell. Hydrast. Hyosc. Ign. Ipec. Kalic. Kreas. 
Led. Magn. arc. Magn. mur. Meny. Merc. sol. Mur. 
ac. Nabul. serp. [N'at. c. Mcc. c. [N'ux v. Paris. 
Phodo. .Rhus tox, Puta. Samb. Sep. Spig. Spong. 
Squill. Sulph. Tarax. Teucr. Thuj. Verat. alb. 
Zinc. met. 

Pimples on cheeks. Berb. Calc. acet. Hura bras. 
Kreas. l^ux v. Rhus tox. Tarax. 

Pimples on temples. Cocc. Mtr. ac. Pedic. cap. 

Pimples on abdomen. Ars. Bar. mur. Bry. Cham. 
Dulc. iTat. c. ISTat. mur. Petr. 

Pimples about anus. Carbo veg. Kali c. Mtr. ac. 

Pimples on perineum. Mt. ac. 

Pimples on genitals (in general). Ambr. Con. Graph. 
Kali c. Lach. Magn. aus. Merc. sol. Nat. mur. 
Mtr. ac. Phos. ac. Sil. Tart. e. Thuj. Zinc. met. 
Sulph. 

Pimples on glans penis. Jacar. car. Lach. Magn. 
aus. Nit. ac. Phos. ac. 

Pimples on scrotum. Phos. ac. Thuj. Zinc. met. 

Pimples on prepuce. Arn. Magn. aus. Mt. ac. Sil. 

Pimples on mons veneris. Ambr. Con. Kali o. Sil. 



REPERTORY. 461 

Pimples on labia. Con. Graph. Xali c. Merc. sol. 
I^at. mur. Verat. alb. 

Pimples between scrotum and thigh. Petr. Selen. 

Pimples on chest. Amm. c. Ant. crud. Arg. nit. 
Bell. Berb. Borax. Bov. Calad. Calc. c. Canth. 
Chin. Cocc. Con. Dulc. Evon. Gins. Hep. lod. 
Kali c. Laeh. Led. Magn. mur. l^at. c. Phos. ac. 
Plumb. m.et. Rhus tox. Squill. Staph. Stront. Tabac. 
Yal. Verat. alb. Zinc. met. 

Pimples in axilla. Cocc. Phos. 

Pimples on neck. Ant. crud. Arn. Aur. fol. Berb. 
Bov. Cinnah. Clem. Gelsem. Gins. Hep. Lye. 
Magn. arc. Magn. c. Meph. Mez. Pedic. cap. Phos. 
ac. Fids. Spig. Spong. Squill. Staph. Stann. Sulph. 
ThyJ. Verat. alb. 

Pimples on nape of neck. Aeon. Amm. c. Arn. 
Bar. mur. Bell. Berb. Borax. Calc. c. Carbo veg. 
Hep. Kali c. Lye. Magn. aus. Magn. c. N^at. c. 
Pedic. cap. Sil. Staph. 

Pimples on neck, under chin. Ant. crud. Puis. 
Spong. 

Pimples on back. Alum. Arg. nit. Bell. Berb. 
Calc. c. Carbo ves;. Cham. Cocc. Con. Dio^it. lod. 
Kali c. Lach. Led. Lye. Magn. mur. Meph. Millef. 
JVat. mur. Pedic. cap. Phos. ac. Puis. Sarsap. Selen. 
Squill. Sulph. Tabac. Zinc. met. 

Pimples on loins. Cham. Chin. 

Pimples on scapulae. Ant. crud. Bell. Berk Crotal. 
hor. Kali chlor. Lye. Magn. mur. Mosch. Puis. 
Eatanh. Squill. 

Pimples between scapula. Cocc. Lye. Spong. 

Pimples on small of back. Calc. Tabac. 

Pimples on upper arms. Anac. Ant. crud. Asclep. 
tuber. Bell. Carbo veg. Chin. Dulc. lod. Kali c. 
Lach. Lauro. Mosch. Pedic. cap. Sulph. Taxus. 
Val. 



462 REPERTORY. 

Pimples on forearm. Amm. c. Amm. mur. Ant. 
crud. Asclep. tuber. Bell. Bov. Calad. Caust. Chin, 
lod. Kali nit. Lach. Lauro. Lye. Magn. c. Magn. 
sulph. Nat. sulph. Pedic. cap. Phos. ac, Ratanh. 
Rhodo. Sabad. Sarsap. Sulph. Tart. e. Taxus. 
Thuj. Yal. Zinc. met. 

Pimples on shoulders. Ant. crud. Berb. Cocc. 
Hura bras. Kali c. Magn. c. Mosch. Pedic. cap. 
Zinc. met. 

Pimples on elbows. Amm. mur. Ant. crud. Bell. 
Berb. Bry. Dulc. Hyosc. Lach. ^at. c. Sahin. 
Sep. Staph. 

Pimples in bends of elbows. Ant. crud. Hyosc. Hura 
bras. Oleum an. Phos. Sep. Thuj. 

Pimples on hands. Agar. Amm. mur. Ant. crud. 
Ars. Bov. Canth. Cic. Elaps. cor. Kreas. Lye. 
Mur. ac. Paris. Pedic. cap. Rhus tox. Selen. Tarax. 
Zinc. met. 

Pimples on wrists. Bar. c. Bry. Cycl. Elaps. cor. 
Rhus tox. Tart. e. 

Pimples on back of hands. Agar. Amm. mur. Canth. 
Carbo veg. Kali chlor. 

Pimples on fingers. Anac. Ant. crud. Arn. Ars. 
Berb. Canth. Cycl. Elaps. cor. Kali c. Lye. Magn. 
c. Mur. ac. Phos. ac. Spig. Squill. Tabac. Tarax. 
Therid. Zinc. met. 

Pimples between fingers. Ars. Phos. ac. Puis. 

Pimples on thumbs. Ant. crud. Kali e. Lye. Therid. 

Pimples between thumb and index finger. Arn. Bry. 
Canth. 

Pimples on nates and hips. Ant. crud. Bar. c. Berb. 
Bry. Calc. c. Cann. sat. Canth. Graph. Hura bras. 
Magn. c. Merc. sol. !Meph. Nux v. Petr. Selen. 
Thuj. 

Pimples on thio-hs. Ao-ar. Ant. crud. Bar. mur. 
Berb. Bry. Bov. Calc. c. Cann. sat. Chel. Cocc. 



REPERTORY. 463 

Elaps cor. Kali c. Kali chlor. Lack. Magn. c. Mang. 
Meph. Mez. Nat.- rniir. Pedic. cap. Petr. Phos. 
Phodo. Sarsap. Selen. Staim. Staph. Sulj^h. Thuj. 
Zinc. met. 

Pimples on buttocks. Camph. Selen. Thuj. 

Pimples on knees. Ant. crud. Bry. Hep. Hura. 
Mcc. c. Pedic. cap. Phos. ac. Puis. Sarsap. Sep. 
Sulph. Thuj. Zinc. met. 

Pimples on calves of legs. Agar, Arg. nit. Asclep. 
tuber. Bov. Bry. Calc. caust. Elaps. cor. Hura bras. 
Kali bich. Lach. isTat. c. Pedic. cap. Phos. ac. Puis. 
Rumex. Sabin. Sarsap. Sep. Staph. Zinc. met. 

Pimples on feet. Ars. Bov. Borax. Con. Led. 
Mosch. Selen. Sep. Sulph. Zinc. met. 

Pimples on soles of feet. Con. 

Pimples on dorsum of feet. Led. Mosch. 

Pimples on toes. Borax. Sulph. Zinc. met. 

Pimples between toes. Mosch. Sulph. 

PiTYKiASis in spots on scalps of fair-haired strumous 
girls. Lye. 

Pocks in general. Aeon. Amm. mur. Ant. crud. 
Arn. Ars. Bell. Bry. Canth. Clem. Cocc. Hydroc. 
Hyosc. Lach. Merc. sol. Pals. Rhus tox. Sec. Sil. 
Stram. Sulph. Tart. e. Thuj. 

Pocks, Suppurating. Ars. Bell. Merc. sol. Sidph. 
Thuj. 

Pocks, Black. Ant. crud. Ars. Bell. Bry. Hyosc. 
Lach. Mur. ac. Phus tox. Sec. Sep. Sil. Spig. 

Pocks, White. lod. Lye. 

Pocks on ^ose. Canth. Merc. sol. 

Pocks on Chest. Alum. Led. Tart. e. 

Pocks on Back. Hydroc. Tart. e. Zinc. met. 

Pocks on Arms. Ars. Hydroc. Sep. 

PocKS of different kinds, also see Small-pox., Varicellce, 
Varicellce Conoides., etc. 

PoRRiGO, in infants, on left side of scalp ; spots round 



464 REPERTORY. 

and dry, slightly raised, red at edges, with bran-like scales 
in the centre. Samb. 

Proud Flesh in ulcers. Alum. Ant. crud. Ars. 
Bell. Carho an. Carbo veg. Caust. Cham. Graiph, 
Kreas. 'La.ch. Merc. sol. Teir. Phos. Sabin. Be-p. 
jSU. Staph. Sulph. Thuj. 

Psoriasis in back of index finger of right hand. Skin 
hard, hypertrophied, and covered with thick white scales. 
Teucr. 

Psoriasis on knees, elbows, legs, and eyebrows. Phos. 

Psoriasis Inveterata. Dry, scaly eruption on backs of 
hands. Sulph. 

Psoriasis in relievo. Skin fissured and irritable; irreg- 
ular patches all over, but on knees and elbows especially, 
with shining scales, and slightly raised, irregular edges. 
Iris vers. 

Pus leaving a black stain. Bry. Chin. Lye. Sulph. 

Pus, Bloody. Arg. fol. Arn. Ars. A&af. Bell. 
Carbo veg. Caust. Con. Croc. Dros. Hep. Hyosc. 
lod. Kali c. Kreas. Lach. Lye. Merc sol. Mez. 
l!^at. mur. Nitr. ac, Phos. Phos. ac. Puis. Rhus tox. 
Puta. Sabin. Sec. Sep. Sil. Sulph. Sulph. ac. 
Tart. e. Zinc. met. 

Pus, Brownish. Anac. Ars. Bry. Calc. c. Carbo 
veg. Con. Puis. Rhus tox. Sil. 

Pus, Corrosive. Amm. c. Anac. Ars. Bell. Calc. 
c. Carbo veg. Caust. Cham. Chel. Clem.' Con. 
Cupr. met. Graph. Hep. Ign. lod. Kreas. Lach. 
Lye. Merc. sol. Mez. I^at. c. E'at. mur. Nitr. ac. 
iSTux V. Phos. Plumb, met. Puis. Ranunc. bulb, 
Ranunc. seel. Rhus tox. Ruta. Sep. Sil. Spig. 
Squill. Staph. Sulph. Sulph. ac. Zinc. met. 

Pus, Fetid. Amm. c. Ars. Asaf. Aur. fol. Bar. 
mur. Bell. Bov. Bry. Calc, c. Caust. Carbo veg. 
Chel. Chin. Chin, sulph. Cic. Con. Cycl. Graph, 
Hep. Kreas. Lach. Lye. Mang. Merc, sol. Mez. 



REPERTORY. 465 

Mur. ac. ]N"at. c. ISTitr. ac. l!^ux mosch. N"ax v. Phos. 
Phos. AC. Plumb, met. Puis. Rhus tox. Ruta. Sabin. 
Sec. Sep. SiL. Staph. Stann. Sulph. Sulph. ac. 
Thuj. Yip. red. 

Pus, Gelatinous. Arg. fol. Arn. Bar. c. Cham. 
Ferr. met. Merc. sol. Sep. Sil. 

Pus, Gray. Ambr. Ars. Carbo an. Oaust. Chin. 
Lye. Merc. sol. Sep. Sil. Thuj. 

Pus, Greenish. Ars. Asaf. Aur. fol. Carbo veg. 
Caust. Kreas. Merc. sol. ^N'at. c. IN'ux v. Fuls. 
Rhus tox. Sep. SiL Staph. 

Pus full of maw-worms. Ars. Calc. c. Merc. sol. 
Sabad. Sil. Sulph. Squill. Staph. Sulph. Tart. e. 
Yip. red. Yip. torv. 

Pus, smelling like old cheese. Calc c. Hep. Merc, 
sol. Sulph. 

Pus, Pale Red. Phos. Plat. Puis. Rhodo. Rhus 
tox. 

Pus, Salt. Amb. Ars. Bar. c. Calc. c. Graph. 
Lyc. Magn. c. Magn. mur. Merc. sol. I^at. c. Petr. 
Fhos. Fuls. Sep. Sil. Stann. Staph. Sulph. Zinc, 
met. 

Pus, Sour-smelling. Calc. c. Graph. Hep. Merc, 
sol. ISTat. c. Sep. Sulph. 

Pus, Thin. Asaf. Carbo veg. Caust. Dros. lod. 
Kali c. Lyc. Merc. sol. Mtr. ac. Plumb, met. Puis. 
Ranunc. bulb. Ranunc. seel. Rhus tox. Ruta. Sil. 
Staph. Sulph. Thuj. 

Pus, Watery. Ars. Asaf. Calc. c. Carbo veg. 
Caust. Clem. Con. Dros. Graph. lod. Kali c. 
Lach. Lyc. Merc. sol. Nitr. ac. N'ux v. Plumb, met. 
Puis. Ranunc. bulb. Ranunc. seel. Rhus tox. Ruta. 
Sil. Squill. Staph. Sulph. Thuj. 

Pus, Milky. Amm. c. Ars. Calc. c. Carbo veg. 
Hell. Lyc. E"at. mur. Fuls. Sep. Sil. Sulph. 

Pus, Yellow. Aeon. Amb. Amm. c. Anac. Arg. 



466 REPERTORY. 

Arg. fol. Ars. Aur. fol. Bov. Bry. Calc. c. Caps. 
Carbo veg. Caust. Cic. Clem. Con. Croc. Dulc. 
Graph. Hep. lod. Kreas. Lye. Magn. c. Mang. 
Merc. sol. ^N'at. c. Nat. mur. Nitr. ac. Nux v. Fhos. 
PuLS. Rhus tox. Ruta. Sec. Selen. Sep. Sil. Spig. 
Staph. Snlph. ac. Thuj. Yiol. tr. 

Pustules, in general. Amm. mur. Anthrak. Ant. 
crud. Ars. Aur. fol. Bar. c. Bell. Berb. Calc. 
phos. Canth. Caust. Cham. Cic. Clem. Cocc. Con. 
Crot. tig. Cycl. Dulc. Erjng. Graph. Grat. Hep. 
Hydroc. Hyosc. Kali c. Kali chlor. Kreas. Lach. 
Lye. Magn. are. Magn. e. Magn. mur. Merc. sol. 
Mez. l^itr. ac. Op. Tetr. Phos. ac. Plumb, met. 
Tuh. Rhus tox. Samb. Sep. Sarsap. Sec. Sil. Spig. 
Staph. Stram. , Sulph. Tarax. Tart. e. Thuj. Yerat. 
alb. Zinc. met. 

Pustules, Acuminated. Dulc. Thuj. 

Pustules, Black. Bry. Mur. ac. Nat. e. Rhus tox. 
Tart. e. 

Pustules, Bleeding and brown. Tart. e. 

Pustules, Confluent. Cic. Merc. Tart. e. 

Pustules, Dry. Eryng. Merc. sol. 

Pustules, Greasy. Kreas. 

Pustules, Hard. Anac. Ant. crud. Crotal. hor. 

Pustules, Inflamed. Rhus tox. Stram. 

Pustules, like scabies. Clem. Grat. Magn. arc. 
Phos. ac. 

Pustules, Pock-like. Ant. crud._ Hydroc. Hyosc. 
Kreas. Mur. ac. Tart. e. Thuj. 

Pustules pale red, rose-colored. Ars. Dulc. 

Pustules, Red. Anac. Ars. Berb. Caust. Cic. 
Cimicif. Crotal hor. Crot. tig. Graph. Hj'droc. Hy- 
droc. ac. Kali e. Mez. Nitr. ac. Tart. e. 

Pustules with red areola. Anac. Borax. Nitr. ac. 
Nux mos. Paris. Tart. e. Thuj. 



REPERTORY. 467 

Pustules, Scurfy. Ant. crud. Bov. Grot. tig. Dnlc. 
Merc. sol. Tart. e. 

Pustules, Small. Eryog. Hydroc. Kali hyd. Kali 
nit. PqIs. Tart. e. 

Pustules, Ulcerated. Ars, Didc. Magn. mur. 
Merc. sol. ^at. c. Sarsap. Sil. Tart. e. 

Pustules discharge water. Kali hyd. Phus tox. 
Stram. 

Pustules, White, papular. Cimicif. Copaiv. Cycl. 

Pustules on scalp. Arn. Ars. Bov. Gran. Kali 
c. Mur. ac. ISTux v. Puis. Rhus tox. Sil. Sulph. 

Pustules on nose. Amm. c. Anew. Arn. Bell. Bov. 
Clem. Cocc. Euphr. Mang. ISTat. c. Mtr. ac. Fetr. 
Plumb, met. Tarax. 

Pustules on face. Amm. c. Amm. mur. Anac. Ant. 
CRUD. Ars. Asclep. tuber. Aur. fol. Bell. Bov. 
Calc. phos. Carbo an. Caust. Cic. Cimicif. Clem. 
Cocc. Coloc. Crot. tig. Bros. Grat. Hyosc. Kali c. 
Kali hyd. Kali nit. Magn. c. Magn. mur. Magn. 
sulph. Merc. sol. Mtr. ac. Paris. Phos. Rhus rad. 
Rhus tox. Sarsap. Tarax. Yerat. alb. 

Pustules about lips and mouth. Amm. c. Bar. c. 
Berb. Carbo veg. Lach. Magn. arc. Mur. ac. l^ux 
V. Paris. Samb. Sep. Tarax. Thuj. Zinc. met. 

Pustules on chin. Bell. Camph. Caust. Graph. 
Hyosc. Kali hyd. Mang. Merc sol. Nitr. ac. l^nx 
mosch. Oleand. Psor. Rhus tox. Sabin. Sarsap. 
Zinc. met. 

Pustules on labia. Bryon. 

Pustules on chest. Aur. fol. Cocc. Eryng. Graph. 
Hep. Hydras. Magn. mur. Psor. Sil. Stront. Tart. e. 

Pustules on neck. Ant. crud. Aur. fol. Clem. 
Cimicif. Squill. Tart. e. 

Pustules on small of back. Calc. c. ^at. c. 

Pustules on back. Calc. c. Dulc. Eryng. ^N'at. c. 
Sil. 



468 REPERTORY. 

Pustules on nape of neck. Bell. l^at. c. Tabac. 

Pustules on scapulae. Cocc. Magn. mur. 

Pustules on arms (in general). Anac. Asclep. tuber. 
Bell. Kali bich. Merc. sol. Mez. Rhodo. Rhus tox. 
Sep. Staph. Stdph. Tabac. 

Pustules on upper arm. Anac. Merc. sol. 

Pustules on forearm. Rhodo. Rhus tox. Staioh. 

Pustules on hands. Cic. Kali bich. Rhus tox. Sep. 
Sil. 

Pustules on fingers. Anac. Bar. c. Borax. Kali 
bich. Sarsap. Sanguin. Spig. Zinc. met. 

Pustules on balls of thumbs. Cic. 

Pustules on nates and hips. Ant. crud. Ilydroc. ac. 
Hyosc. Phos. ac. 

Pustules on thighs. Dulc. Grat. Mez. Staph. 
Stram. Thitj. 

Pustules on legs. Asclep. tuber. Dulc. Mez. Staph. 
Stram. Thiij. 

Pustules on and below knees. Bry. Hjosc. 

Pustules on feet. Con. Rhus tox. 

Pustules on heels. I^at. c. 

Pustules on toes. Crotal. cascav. Cjcl. Graph. 

Pustules on balls of toes. Phos. ac. 

Pustules, Large. Cimicif. Clem. Hjosc. Kreas. 
Tart. e. 

Pustules on forehead. Granat. Mur. ac. Psor. Sil. 

Pustules on temples. Granat. Mur. ac. 

Pustules covered with crusts. Bell. Nitr. ac. Sulph. 

Pustules seem filled with shot ; become ulcers ; con- 
tain bloody or black fluid. Tart. e. 

Rash in general. Acon. Alum. Amm. c. Amm. mur. 
Ant. crud. Arn. Ars. Asaf Bell. Bov. Bry. 
Calad. Calc. c. Canth. Carbo veg. Caust. Cham. 
Chin. Clem. Goff. Coloc. Cupr. met. Dig. Dulc, 
Electr. JEaphras. Galv. Gins. Graph. Hell. Hyosc. 
Ipec. Kali chl. Lach. Led. Merc. sol. Mez. J^at. 



REPERTORY. 469 

mur. Nux v. Op. Fhos. Phos. ac. Puis. Rhus tox. 
Ruta. Sarsap. Sec. Selen. Sep. Sil. Spoiig. Staph. 
Stram. Sulph. Tart. e. Teucr. Yal. Verat. alb. 
Viol. tr. Zinc. met. 

Rash in clusters. Mez. ]^at. mur. Phos. ac. 

Rash, fine. Aram. mur. Con. Corn. eirc. Phos. ac. 
Rhus tox. 

Rash, Purple. Aeon. Amm. c. Bell. Coff. 

Rash, Red. Acon. Amm. c. Ars. Bell. Bry. 
Carlo veg. Caust. Cham. Coloc. Coff. Dulc. Eu- 
phras. Hyosc. Ipec. Lack. Led. Merc. sol. Phos. 
Phos. ac. Rhus tox. Sep. Staph. Stram. Sulph. 
Tart. e. Teucr. 

Rash, Whitish. Agar. Ars. Bov. Bry. Ipec. 
Nux V. Phos. Sulph. Yal. 

Rash on scalp. Mez. l^at. mur. Spong. Tart. e. 

Rash on face. Cham. Con. Euphras. Ipec. Kali 
brom. Sulph. Yerat. alb. Tabac. 

Rash on genitals. Brj. Dulc. Rhus tox. 

Rash on chest. Amm. c. Pry. Calad. Corn. circ. 
Cupr. met. Galv. Lach. Led. Merc. sol. Sil. Staph. 
Stram. Sulph. Tart. e. 

Rash on neck. Amm. c. Bry. Galv. 

Rash on nape of neck. Ant. crud. Bry. Caust. 
Mez. Sec. 

Rash on back. Con. Merc. sol. Mez. Stram. 

Rash on scapulse. Ant. crud. Caust. 

Rash on arm. Ant. crud. Bry. Mez. Rheum. 
Tart. e. 

Rash on forearm. Amm. c. Bry. Calad. Merc. sol. 
Mez. Rheum. Selen. Tart. e. 

Rash on hands. Bry. Cupr. met. Dig. Led. 

Rash on thighs. Bry. Caust. Galv. Merc. sol. Mez. 
]^at. mur. Nux v. Oleum an. Osmium. Sulph. 

Rash on knees. Kux v. Zinc. met. 

Rash on legs. Calc. c. Hyosc. Nat. mur. Sil. 



470 REPERTORY. 

Redness of skin in general. Acon. Agar. Agn. 
Amm. c. Anthr. Ant. crud. Aen. Ars. Asaf. Bell. 
Berb. Bov. Bry. Calc. c. Camph. Canth. Carbo 
veg. Caust. Cham. Chin, Cina. Clem. Cocc. Con. 
Crotal. hor. Crot. tig. Cycl. Dulc. Electr. Eupborb. 
Ferr. met. G-raph. Hep. Hydroc. ac. Ilyosc. Ign. 
Ipec. lod. Kali c. Kali cbl. Kreas. Lach. Led. 
Lyc. Magn. c. Magn. mur. Hang. Merc, sol . Mez. 
1^2it. mur. l^vx V. Oleand. Op. Petr. Phos. Phos. 
AC. Plumb, met. Puls. Ranunc. seel. Rhodo. Rhus 
Tox. Huta. Sabad. Sarsap. JSec. Sep. Sil. Spig. 
Spong. Squill. Stann. Strain. Sulph. Sulph. ac. 
Tarax. Tax. Teucr. Yal. Vine. min. Yip. red. Vip. 
torv^. 

Ridges in general. Ars. Bell. Calc. c. Cai-bo veg. 
Eupborb. Hep. Lyc. Magn. c. Phos. Phos. ac. Rhus 
tox. Sabad. Strain. 

Ridges, Brown. Ars. Carbo veg. 

Ridges, Red. Bell. Calc. c. Carbo veg. Eupborb. 
Hep. Phos. Phos. ac. Rhus tox. Sabad. 

Roughness of skin in general. Bell. Calc. c. Graph. 
lod. Kali c. Lauro. Merc. sol. ISTat. c. Oleand. Phos. 
Phos. ac. Rhus tox. Ruta. Sarsap. Sep. Sulph. 

"Salt Rheum," ulcerated, in general. Amb. Ars. 
Calc. c. Chin. Graph. Lyc. Merc. sol. Petr. Phos. 
Puis. Sep. Sil. Staph. Sulph. 

Scabies, Dry. Bry. Carbo veg. Merc. sol. Sep. 

Scabies, Moist. Carbo veg. Merc. sol. 

Scabies, Pustular. Ars. Hep. Tart. e. 

Scabies, Red. Bry. Merc. sol. 

Scabies on the extremities. Ars. Bry. Carbo veg. 
Merc. sol. Tart. e. 

Scabies in bend of elbow. Bry. Merc. sol. 

Scabies in bend of knee. Ars. Bry. Merc. sol. 

Scabies on wrist. Bry. Tart. e. 



REPERTORY. 471 

Scald Head, moist. Cic. Lappa maj. Mez. Sep. 
Staph. 

Scald Head, thick white or gray-white crusts ; erup- 
tion extends to face. Cic. Dulc. Lappa maj. 

Scald Head, thick yellow scales, and fetor. Staph. 

Scald Head in form of a ringworm, with yellow pus. 
Calc. c. 

Scarlatina, tardy eruption. Phytol. Yerat. alb. 

Scarlatina, suppressed. Phos. Phos. ac. 

Scarlatina, eruption dark. Hydras. Ehus tox. 

Scurfs or crusts in general. Alum. Amb. Amm. c, 
Amm. mui\ Ant. crud. Ars. Asaf. Aur. fol. Aur. 
mur. Bar. c. Bell. Bov. Bry. Calc. c. Caps. 
Carbo an. Carbo veg. Cham. Ghel. Chin, sulph. Cic. 
Clem. Coloc. Con. Crot. tig. Dulc. Electr. Graph. 
Hell. Hep. Ign. Kali c. Kreas. Lacei. Led. Lyc. 
Magn. c. Merc. sol. Mez. Mur. ac. ^at. mur. Mtr. 
ac. IN'ux V. Oleand. Paris. Petr. Phos. Phos. ac. 
Plumb, met. Puis. Eanunc. rep. Rhus tox. Puta. 
Sabad. Sabin. Sarsap. Sep. Sil. Spong. Squill. 
Staph. Sulph. Tart. e. ThuJ. Verat. alb. Viol. tr. 
Vip. torv. Zinc. met. 

Scurfs, Black. Bell. Chin, sulph. Yip. torv. 

Scurfs, Brown. Amm. c. Ant. Berb. 

Scurfs, Dry. Ars. Aur. fol. Aur. mur. Ba7\ c. 
Calc. c. Chin, sulph. Graph. Lach. Led. Merc. sol. 
Sulph. Thuj. 

Scurfs, Fetid. Graph. Lyc. Merc. sol. Plumb, met. 
Staph. Sulph. 

Scurfs, yellowish-gray. A rs. Merc. sol. Sulph. 

Scurfs, Horny. Graph. Ranunc. bulb. 

Scurfs, Humid. Alum. Ars. Bar. c. Calc. c. 
Chin, sulph. Cic. Clem. Graph. Hell. Hep. Lyc. 
Merc. sol. Mez. Oleand. Plumb, met. Ranunc. bulb. 
Phus tox. Puta. Sep. Sil. Staph. Sulph. 

Scurfs, Suppurating. Ars. Plumb, met. Sil. Sulph. 



472 REPERTORY. 

ScuRFvS, Yellow. Ant. crud. Aur. fol. Aur. mur. 
Cic. lod. Kreas. Merc. sol. Mez. 

Small-pox, eruption livid and sinks in. Ars. Camph. 
Rhus tox. 

Spots, Black. Ars. Grotal. hor. Lack. Rhus tox. 
Sec. Vip. red. 

Spots, Blue. Amra. c Anath. muric. Aiit. crud. 
Aym. Ars. Bar. c. Berb. Borax. Con. Crotal. hor. 
Fere. met. Lach. Led. Merc. sol. W\t. ac. ]^ux 
mosch. Nux v. Op. Phos. Flat. Kuta. Sulph. 

SULPH. AC. 

Spots, Reddish-blue. Arn. Crotal. hor. Elaps. cor. 
Lach. Phos. 

Spots, Brown. Ant. crud. Ars. Aur. fol. Berb. 
Cann. sat. Carbo veg. Con. Crotal. hor. Hyosc. Lye. 
J^at. mur. Nitr. ac. Petr. Phos. Plumb, acet. Plumb, 
met. Rhus tox. Sep. Sulph. Taxus. Thuj. 

Spots, as if burnt. Ant. crud. Ars. Carbo veg. 
Canst. Cycl. Euphorb. Hyosc. Kreas. Lach. Rhus 
tox. Sec. Stram. 

Spots, Claret-color. Cocc. Sep. 

Spots, Clustered. Calc. c. Calc. caust. 

Spots, Confluent. Bell. Cic. Hyosc. Phos. ac. 
Val. 

Spots, Copper-color. Corall. rub. Lach. Nitr. ac. 
Phos. Syphil. 

Spots, Dirty. Berb. Sabin. Sec. 

Spots, Dry. Bar. c. Eryng. Kali hyd. 

Spots like fleabites. Aeon. Bell. Dulc. Graph. 
Mez. Sec. Stram. Tart. e. 

Spots, Green. Ars. Con. Crotal. hor. Vip. torv. 

Spots, Hard, l^ux mosch. Yip. torv. 

Spots, Hepatic. Aiit. crud. Caust. Con. Ferr. met. 
Hj^osc. Lauro. Lyc. Merc. sol. [N'at. c. Nitr. ac. 
Petr. Phos. Sep. Sulph. 

Spots, Humid. Ant. crud. Ars. Carbo veg. Hell. 



REPERTORY. 473 

Kalic. Lach. Led. Petr. Sabin. Selen. Sil. Sulph. 
Tarax. 

Spots, Inflamed. Ars. Hell. Kalm. 

Spots, Lakge. Calc. c. Hura. bras. Lye. Petr. 
Pbos. ac. Sabin. Tart. e. 

Spots, Marbled. J5erb. Carbo veg. CausL Crotal. 
hor. Lye. 'Nsit. mur. Plat. Thuj. 

Spots, Pale-red, or rose colored. Cann. sat. Carbo an. 
Carbo veg. Cocc. Copaiv. Rhodo. Sarsap. Sep. 
Teucr. Vip. red. 

Spots, Eaised, elevated. Calc. c. Carbo an. Dulc. 
Kali c. Merc. sol. Plios. Puis. Sarsap. Sil. Teucr. 
Thuj. 

Spots, Ped. Aeon. Alum. Amb. Amm. c. Amm. 
mur. Anath. muric. Ant. crud. Arn. Ars. Bell. 
Berb. Bry. Calad. Calc. c. Cann. sat. Canth. Caps. 
Carbo an. Carbo veg. Caust. Cham. Chel. Chin. 
Cinnab. Cist. Cocc. Con. Copaiv. Corall. rub. Croc. 
Cycl. Crotal. hor. Dros. Dulc. Elaps. cor. Electr. 
Eryng. Graph. Hep. Hura bras. lod. Ipec. Kali 
c. Kali hyd. Kalm. Lach. Led. Lye. Magn. arc. 
Magn. c. Magn. mur. Mang. Merc. sol. Merc. viv. 
Mez. Mosch. Nat. c. Nat. mur. ITitr. ac. N'ux jug. 
Oleum jec. Op. Paris. Paul. pin. Fetr. Phos. Phos. 
ac. Plat. Plumb, acet. Flumb. met. Puis. Ratanh. 
Rhodo. Rhus tox. Rhus vern. Sabad. Samb. Sar- 
sap. Sep. Sil. Spong. Squill. Stann. Sulph. Sulph. 
AC. Sumb. Syphil. Tabac. Tart. e. Taxus. Teucr. 
Thuj. Yerat. alb. Vip. red. Vip. torv. Zinc. met. 

Spots, Dark-red. Bell. Berb. Calc. caust. Lye. 
Rhodo. Taxus. Yip. red. 

Spots, Red, checkered. Berb. Carbo veg. Caust. 
Crotal. hor. Lye. Nat. mur. Plat. Thuj. 

Spots, Rough. Bar. c. Merc. sol. Mur. ac. Mtr. ac. 
Sarsap. Zinc. met. 

Spots, Round. Bry. Chel. Crotal. cascav. Hura 

32 



474 REPERTORY. 

bras. lod. Led. Merc. sol. Mur. ac. ^N'at. mur. 
Phos. Stann. Zinc. met. 

Spots, Scaly, Scurfy. Ilydrocotyle. Kali c. Merc. 
sol. ;N'itr. AC. Sabin. Sil. Tbuj. Zinc. met. 

Spots, Small. Brj. Cham. Cinnab. Eryng. Hura 
bras. Lach. Led. Lye. Magn. c. Merc. sol. Oleum 
jec. Op. Phos. Phytol. Patanh. Sabad. Squill. 
Stann. Sidph. ac. Tart. e. Yip. torv. 

Spots, Smooth. Carbo an. Carbo veg. Corall. rub. 
Electr. Lach. Magn. c. Petr. 

Spots, Syphilitic. Hydrocotyle. Merc. sol. Syphil. 
Thuj. 

Spots, Purple, or violet colored. Merc. corr. Mtr. ac. 
Phos. Yerat. alb. 

Spots, White. Alum. Amm. c. Ars. Calc. c. Carbo 
an. Electr. Merc. sol. ^N'at. c. Nitr. ac. Phos. Sep. 
Sil. Sulph. 

Spots, Yellow. Amb. Anath. muric. Am. Ars. 
Canth. Con. Colch. Crotal. cascav. Elaps. corr. 
Ferr. acet. Ferr. met. Guar, trich. Hydrocotyle. lod. 
Kali c. Lach. Lauro. Nat. c. Petr. Phos. Biita. 
Sabad. Sep. Stann. Sulph. Tart. e. Yip. red. Yip. 
torv. 

Spots, Bloody (like petechise). Arn. Ars. Bell. 
Berb. Bry. Con. Hyosc. Lach. Led. [N'uxv. Fhos. 
Rhus tox. Ruta. Sec. Sil. Stram. Sulph. ac. 

Spots, Scorbutic. Anath. muric. Merc. cor. Merc, 
sol. 

Spots, Lenticular. Calc. c. Rhus tox. Yip. red. 

Spots covered with rash pimples. Cham. Spong. 

Spots covered with vesicles. Dulc. lod. Lach. Merc, 
viv. Rhus tox. Spong. 

Spots moist when scratched. Kali c. Sabin. 

Spots covered with pustules. Lye. ^ux jug. 

Spots on scalp. Ars. Kali c. Mosch. Zinc. met. 

Spots on eyelids. Camph. Sil. 



REPERTORY. 475 

Spots on nose. Aur. fol. Cale. c. lod. Piios. ac. 
Rhodo. Taxus. Yerat. alb. 

Spots on face. Aeon. Alum. Amb. Amm. c. 
Anath. muric. Ars. Bar. c. Bell. Berb. Bry. Calc. 
c. Carbo an. Carbo veg. Caps. Colch. Croc. Ferr. 
acet. Ferr. met. Lach. Lauro. Lye. ' Merc. sol. Nat, 
c. Mtr. ac. Paris. Paul. pin. Phos. Rbus vern. 
Samb. Sarsap. Sep. Smlph. Tabac. Yip. red. Zinc, 
met. 

Spots about lips and moutL. Ars. Berb. Caust. 
Hep. Merc. sol. Mez. Nat. c. Sulph. 

Spots on chin. Nat. mur. Sep. Sil. Samb. 

Spots on cheeks. Berb. Carbo an. Hurabras. Paris. 
Samb. 

Spots on abdomen. Ars. Bell. Canth. Calend. 
Kali c. Lach. Led. Lye. Nat. mur. Phos. Patanh. 
Sabad. Sep. 

Spots on glans penis. Arn. Cann. sat. Carbo veg. 
Cinnab. Lach. Nat. mur. Mtr. ae. Petr. Sil. Thuj. 

Spots on scrotum. Calc. c. Sil. 

Spots on prepu<3e. Lach. Phus tox. Thuj. 

Spots on chest. Amm. c. Amm. mur. Ars. LelL 
Carbo veg. Cinnab. Cocc. Crotal. hor. Crotal. cascav. 
Eryng. Ipec. Lach. Led. Lye. Magn. c. Mez. 
Nitr. ac. Phos. Phytol. Sabad. Sep. Squill. Sulph. 
Vip. torv. 

Spots on neck. Ars. Bell. Bry. Carbo veg. Cin- 
nab. Cocc. lod. Lach. Lye. Sep. Stann. Yip. 
torv. 

Spots on nape of neck. Carbo veg. Hyosc. 

Spots on scapulae. Calc. c. Cist. Lach. Sumb. 

Spots on back. Lach. Lye. Sep. Spong. Sulph. 
Sumb. Zinc. met. 

Spots on arms. Ant. crud. Berb. Bry. Crotal. hor. 
Cupr. met. Flaps, corr. Kali hyd. Lach. Led. Lye. 



476 REPERTORY. 

Nat. mur. 'Nu.x jug. Plat. Petr. Hhus tox. Sabad. 
SuLPH. Taxus. Thuj. 

Spots on shoulders. Berb. Phos. ac. Sulph. ac. Ta- 
bac. 

Spots on forearms. Amm.c. Ant. crud. Berb. Bry. 
Cbel. Crotal. hor. Cupr.met. Hurabras. Lach. Led. 
Magn. mur. Merc. sol. Nat. mur, I^ux jug. Petr. 
Sabad. Sulph. Sulph. ac. Thuj. 

Spots on elbows. Calc. c. Sep. Vip. torv. 

Spots on wrists. Dros. Kali c. 31erc. sol. Petr. 

Spots on hands. Aeon. Bell. Berb. Corall. Dros. 
Elaps. cor. Electr. lod. Kali c. Nat. c. Nat. mur. 
Nitr. ac. Sabad. Sep. Squill. Stann. Tart. e. Yip. 
torv. Zinc. met. 

Spots on backs of hands. Bell. Crotal. cascav. Dros. 
Hura bras. Phos. ac. Stann. 

Spots on palms of hands. Corall. Electr. 

Spots on fingers. Con. Corall. Elaps. cor. Lach. 
Lye. Mang. Nat. mur. Phos. ac. Plumb, acet. Plumb, 
met. Sabad. Squill. Tart. e. Zinc. met. 

Spots on thighs. Amm. c. Ant. crud. Bell. Berb. 
Cann. sat. Cycl. Electr. Graph. Lach. Magn. c. 
Mur. ac. Ehodo. Sabin. 

Spots on legs. Ant. crud. Calc. c. Calc. caust. 
Chel. Con. Graph. Guar, trich. Hura bras. Lye. 
Nat. mur. Nux v. Phos. Sarsap. Sil. Stann. Sulph. 
Zinc. met. 

Spots on knees. Elaps. cor. Electr. Petr. Rhus tox. 

Spots on feet. Ant. crud. Ars. Hydrocotyle. Led. 
Phos. Puis. Rhus tox. Sec. Squill. Sulph. Thuj. 

Spots on toes. Lach. E'at. c. 

Thick hard skin. Amm. c. Ant. Crud. Ars. 
Borax. Cic. Clem. Dulc. Graph. Lach. Paris. 
Ranunc. bulb. Rhus tox. Sep. Sil. Sulph. Thuj\ 
Yerat. alb. 

Tubercles in general. Agar. Alum. Amm.c. Amm. 



I 



REPERTORY. 477 

mur. Anac. Anthrak. Ant. crud. Ars. Aur. fol. 
Bar. c. Bell. Byy. Calc. c. Caiin. sat. Canth. Caps. 
Carhoan. Carhoveg. Caust. Chel. Chin. Cic. Coce. 
Con. Digit. Dros. Dulc. Electr. Graph. Hell. Hep. 
Ign. lod. Ipec. Kali c. Kali chl. Kali hyd. Kreas. 
Lach. Led! Lye. Magn. arc. Magn. c. Magn. mur. 
Magn. sulph. Mang. Merc. sol. Mez. Mur. ac. IsTat. 
c. Nat. mur. Nitr. Mtr. ac. Nux v. Oleand. Op. 
Petr. Phos. Phos. ac. Puis. Rhustox. Pata. Sabin. 
Sec. Selen, Sep. Sil. Spig. Spong. Stann. Sfaph. 
Stram. Sulph. Sulph. ac. Tarax. Tart. e. Thuj. Val. 
Verat. alb. Verb. Yiol. tr. Zinc. met. 

TuBEECLES, SuppuRATiNa. Amm. c. Bov. Mtr. ac. 

Tubercles, Inflamed. Amm. mur. Rhus tox. 

Tubercles, Raised. Oleand. Rhus vern. Yal. 

Tubercles, Yellow. Ant. crud. Sulph. 

Tubercles, Hard. Aram. c. Amm. mur. Ant. crud. 
Bar. c. Bov. Bry. Con. Lach. Magn. c. Magn. 
sulph. iNTat. mur. Phos. Rhus tox. Yal. 

Tubercles, Tuberous. Nat. c. Phos. Sil. 

Tubercles, Leprous. Nat. c. Phos. Sil. 

Tubercles, Erysipelatous. Nat. c. Phos. Sil. 

Tubercles, Red. Amm. c. Berb. Bov. Carbo an. 
Carbo veg. Digit. Electr. Hep. Kali chl. Kali hyd. 
Lach. Led. Magn. c. Magn. mur. Merc. sol. Mur. 
ac. ]^at> mur. Mtr. ac. Op. Phos. ac. Puis. Sep. 
Spig. Sulph. Thuj. Yerat. alb. 

Tubercles, with red areola. Ant. crud. Cocc. Dulc. 
Phos. 

Tubercles, Ulcerating. Amm. c. Bov. Sec. 

Tubercles, White. Ant. crud. Dulc. Sulph. Yal. 

Tubercles discharge clear water. Graph. Magn. c. 

Tubercles, Small. Mang. Mcc. c. E'uxjug. Rhus 
tox. 

Tubercles on eyelids. Aur. fol. Brj. Calc. c. Ra- 
nunc. seel. Staph. Thuj. 



478 REPERTORY. 

Tubercles on face. Alum. Ant. crud. Ars. Bar. c. 
Brj. Calc. c. Cann. &at. Canth. Carbo veg. Cham. 
Chel. Cic. Can. Digit. Dulc. Grayh. Hell. Hep. 
Kali c. Kali hyd. Lach. Led. Lye. Magn. arc. 
Magn. c. Magn. mur. Merc. sol. !N'at. c. E'itr. ITitr. 
ac. Nuxv. Oleand. Puis. Thuj. Yiol.tr*. Zinc. met. 

Tubercles about lips and mouth. Ars. Bar. c. Bell. 
Bry. Caust. Con. Magn. mur. Mec. c. Sep. Sil. 
Sulph. 

Tubercles on chin. Bry. Carbo an. Euphorb. Hep. 
Magn. mur. Oleand. 

Tubercles on lower jaw. Bry. Graph. l!Tat. c. ISTux 
V. Staph. Yerat. alb. 

Tubercles about arms. Carbo veg. Hep. Ign. 
Stann. Staph. Thuj. 

Tubercles on penis. Bell. Bov. 

Tubercles on labia. Calc. c. Merc. sol. Phos. 

Tubercles on chest. Amm. c. Cann. sat. Caust. 
Mang. Mcc. c. 

Tubercles in axilla. Mtr. ac. Phos. 

Tubercles on neck. Amm. c. Lach. Lye. Mur. ac. 
Nice. c. Phos. Phos. ac. Sec. 

Tubercles on nape of neck. Ant. crud. Carbo an. 
Caust. Mcc. c. Zinc. met. 

Tubercles on back. Amm. c. Caust. Lye. Mcc. c. 
Squill. 

Tubercles on shoulders. Crotal. hor. Kali chl. Phos. 
Rhus tox. 

Tubercles on arms. Ars. Caust. Cocc. Dulc. 
Mang. 

Tubercles on forearms. Agar. Amm. c. Mur. ac. 
Mtr. Nux jug. Phos. ac. 

Tubercles on elbows. Amm. c. Caust. Magn. c. 
Mur. ac. 

Tubercles on hands. Ars. Carbo an. Hydrocotyle. 



REPERTORY. 479 

Kali chl. Merc, sol. Nitr. ac. Rhus tox. Rhus vern. 
Sep. Spig. Stram. 

Tubercles on wrists. Amni. c. Magn. c. 

Tubercles on fingers. Berb. Caust. Coco. Con. 
Hydrocotyle. Lach. Led. Lye. l!^at. c. Rhus tox. 
Yerat. alb. Zinc. met. 

Tubercles on feet. Carbo an. Rhus tox. 

Tubercles on hips. Ratanh. Rhus tox. 

Tubercles on buttocks. Hep. Mang. 

Ulcers, Black. Ant. crud. Ars. Asaf. Bell. 
Carho veg. Con. Euphorb. Ipec. Lach. Mur. ac 
Plumb, met. Rhus tox. Sarsap. Sec. Sil. Squill. 
Sulph. Sulph. ac. 

Ulcers, Bleeding (easily). Alum. Arn. Ars. Asaf. 
Bell. Bov. Carbo veg. Caust. Con. Croc Dros. 
Hep. Hyosc. lod. Kali c. Kreas. Lach. Lyc. 
Merc dulc Meyx. sol. Merc. viv. Mez. I^at. mur. 
!N'iTR. AC. Phos. Phos. AC. Puls. Rhus tox. Ruta. 
Sabin. Sec. Sep. Sil. Sulph. Sulph. ac Thuj. 
Zinc. met. 

Ulcers, bleeding edges. Ars. Lyc 

Ulcers surrounded by blisters and vesicles. Ars. Bell. 
Caust. Fluor, ac Hep. Lach. Merc sol. Mez. E'at. 
c. Petr. Phos. Hhus tox. Sep. 

Ulcers, Bluish. Ars. Asaf. Aur. fol. Bell. Con. 
Hep, Lach. Mang. Merc. sol. Sec Seneg. Sil. 
Verat. alb. 

Ulcers with bluish edges. Asaf. Mang. 'Nitr. ac 

Ulcers, with a blue-black or greasy ash-colored base. 
Ars. Lach. Thuj. 

Ulcers, chronic, malignant. Ars. Bar. c. Calc c 
Carbo veg. Caust. Cham. Chel. Clem. Con. Croc 
Crotal. hor. Graph. Hep. Kali c Lach. Lyc. 
Magn. c Mang. Merc. sol. Mur. ac ¥at. c Nitr. 
ac. Petr. Phos. Phos. ac. Rhus tox. Sep. Sil. Squill. 
Staph. Sulph. 



480 REPERTORY. 

Ulcers, chronic, old. Ampel. quin. Carboveg. Chel. 
Crotal.hor. Cwpr.met. Euphorb. G-rapli. Hep. Lack. 
Lye. Nux mosch. Petr. Fhos. ac. Polygon, punct. 
Psor. Ranunc. acris. Ranunc. bulb. Panunc. seel. 
Tart. e. 

Ulcers, CoRRODiNa. . Kali bich. Merc. sol. Merc. viv. 
Mtr. ac. Panunc. bulb. Sil. 

Ulcers, Deep. Ant. crud. Ars. Asaf. Aur. fol. 
Bell. Bov. Calc. c. Carlo veg. Caust. Chel. Clem. 
Con. Dros. Hep. Kali bich. Kreas. Lach. Lye. 
Magn. c. Merc. sol. Mur. ac. ISTat. c. l!^at. mur. 
KiTR. AC. Petr, Phos. ac. Pals. Rhus tox. Puta. 
Sabin. Selen. Sep. Sil. Staph. Sulph. Thuj. 

Ulcers, Dirty. Lach. Merc. sol. I^itr. ac. E'ux 
mosch. Sabin. T/iuJ. 

Ulcers, Fetid. Amyn. c. Ars. Asaf. Bar. mur. 
Calc. c. Carlo veg. Caust. Chin. Con. Graph. Hep. 
Lach. Lye. Mang. Merc. sol. Mur. ac. Phos. Plumb, 
met. Rhus tox. Sec. Sep. Sil. Staph. Vip. red. 

Ulcers, Fistulous. Ant. crud. Ars. Asaf. Aur. fol. 
Bell. Dry. Calc. c. Carlo veg. Caust. Chel. Clem. 
Con. Hep. Kreas. Lach. Led. Lye. Merc. sol. 
Millef. ^at. c. Nat. mur. Nitr. ac. Petr. Phos. 
Phos. ac. Puis. Phustox. Puta. Sabin. Selen. Sep. 
Sil. Stann. Staph. Stram. Sulph. Thuj^ 

Ulcers, Flat. Amm. c. Amm. mur. Arg. Ant. 
crud. Ars. Asaf. Aur. mur. Bell. Carboan. Carbo 
veg. Chin. Corall. Lach. Lye. Merc. sol. Nat. c. 
Nitr. ac. Petr. Phos. Phos. ac. Puis. Panunc. bulb. 
Selen. Sep. Sil. Staph. Sulph. Tart. e. Thuj. 

Ulcers, Gangrenous. Aeon. Ars. Asaf. Bell. 
Chin. Con. Kreas. Lach. Mur. ac. Phus tox. Sa- 
bin. Sec. Squill. Tart. e. Vip. red. 

Ulcers, Hard. Ars. Bell. Calc. c. Puis. 

Ulcers with hard edges. Arn. Ars. Asaf. Bell. 
Bry. Calc. c. Carbo an. Carbo veg. Caust. Cham. 



REPERTORY. 481 

Cic. Cina. Clem. Commoc. dent. Grapli. Hep. 
Lach. Lyc. Merc. sol. Mez. I:^at. c. ITux v. Petr. 
Phos. Phos. ac. Puis. Panunc. bulb. Sanguin. Sep. 
SiL. Staph. SuLPH. Thiij. 

Ulcers, Inflamed. Agon. Agn. Ant. crud. Arn. 
Ars. Asaf. Bar. c. Bell. Borax. Bov. Bry. Cole. 
c. Caust. Cham. Cina. Cocc. Colch. Con. Croc. 
Cup. met. Digit. Galv. Hep. Hjosc. Ign. Kreas. 
Led. Lyc. Mang. Merc. sol. Mez. I^at. c. Nitr. ac. 
Nux V. Petr. Phos. Plumb, met. Fuls. Panunc. 
bulb. Rhus tox. Puta. Sabin. Sarsap. Sep. Sil. 
Staph. Sulph. Thuj. Yerat. alb. 

Ulcers with maw worms. Ars. Calc. c. Merc. sol. 
Sabad. Sil. 

Ulcers, Mercurial. Alum. Amm. c. Arn. Asaf. 
Aur. fol. Bell. Calc. c. Carbo an. Carbo veg. Cham. 
Chin. Cist. Clem. Graph. Hep. Lach. Lyc. ITat. 
mur. Nitr. ac. Phos. Phos. ac. Sarsap. Sep. Sil. 
Staph. Sulph. Thuj. 

Ulcers, old, torpid, indolent. Anac. Ars. Bals. peru. 
Calc. c. Camph. Carbo an. Carbo veg. Carbol. ac. 
Con. Dulc. Ewphorb. lod. Lach. Lyc. Mur. ac. 
Nitr. ac. Oleand. Op. Phos. ac. Plumb, met. Poly- 
gon, punct. Sanguin. Sep. Sil. Sulph. 

Ulcers surrounded by pimples. Aeon. Ars. Asaf. 
Carbo veg. Caust. Cham. Lach. Merc. sol. Mez. 
Mur. ac. ^N'at. c. Petr. Phos. Pals. Rhus tox. Sep. 
Sil. Staph. Sulph. 

Ulcers with proud flesh. Alum. Ant. crud. Ars. 
Bell. Carbo an. Carbo veg. Caust. Cham. Graph. 
Kreas. Lach. Merc. sol. Petr. Phos. Sabin. Sep. 
Sil. Staph. Sulp)h. Thuj. 

Ulcers, Putrid. Amm. c. Ars. Asaf. Aur. fol. 
Bell. Borax. Bov. Bry. Calc.c. Carbo veg. Caust. 
Chel. Chin. Cic. Con. Cycl. Graph. Hep. Kreas. 
Lyc. Mang. Merc. sol. Mez. Mur. ac. E'at. c. 



482 REPERTORY. 

Nitr. ac. ITux mosch. ^ux v. Phos. Phos. ac. Plumb, 
met. PuLS. Rhustox. Ruta. Sabin. Sec. Se'p. Sil. 
Stapb. Sulph. Sulph. ac. Tbuj. 

Ulcers, Pustulous. Kali bicb. Sarsap. Tart. e. 

Ulcers witb red areola. Aeon. Ant. crud. Arn. 
Ars. Asaf. Bar. c. Bell. Calc. c. Caust. Cbam. 
Cocc. Corall. Cupr. met. Hep. Kreas. Kali bicb. 
Lac FT. Lamb. alb. Lye. Mere. sol. Mez. Mtr. ac. 
E'ux V. Petr. Pbos. Puis. Ranunc. bulb. Rhus tox. 
Sabin. Sep. Sil. Staph. Sulpb. 

Ulcers like " salt rbeum." Amb. Ars. Cole. Cbin. 
Graph. Lye. Merc. sol. Petr. Pbos. Puis. Sep. 
Sil. Staph. Sulpb. 

Ulcers, Sarcomatous. Ant. crud. Ars. Cupr. met. 
Hep. Kreas. Merc. sol. Nitr. ac. Sabin. Sulpb. 
Tbuj. 

Ulcers, Scrofulous. Ars. Aur. fol. Bell. Bov. 
Calc. c. Carbo an. Carbo veg. Caust. Cist. Graph. 
Hep. Lach. Lye. E"ux v. Oleum jec. Phos. Sep. 
Sil Sulpb. 

Ulcers witb tbin scurf. Ars. Grapb. Sabin. Staph. 

Ulcers, Scurfy, crusty. Ant. crud. Ars. Bar. c. 
Bell. Bov. Bry. Calc. c. Carbo an. Cie. Clem. 
Con. Commoc. dent. Electr. Graph. Hell. Hep. 
Led. Lye. Merc. sol. Mez. Mur. ac. ISTux v. Ole- 
and. Paris. Phos. ac. Plumb, met. Puis. Ranunc. 
bulb. Rhus tox. Sabin. Sarsap. Sep. Sil. Spong. 
Staph. Sulph. Yiol. tr. 

Ulcers, Shaggy. Hep. Lach. Merc. sol. Phos. ac. 
Sil. Staph. Sulph. Tbuj. 

Ulcers, Spongy edges. Ars. Merc. sol. 

Ulcers, Spongy. Alum. Ant. crud. Ars. Bell. 
•Calc. c. Carbo an. Carbo veg. Caust. Cham. Clem. 
Con. Grapb. lod. Kreas. Lach. Lye. Merc. sol. 
ISTitr. ae. Nux v. Petr. Phos. Phos. ac. Rhus tox. 
Sabin. Sep. Sil. Staph. Sulph. Tart. e. Tbuj. 



REPERTORY. 483 

Ulcers, Spotted. Arn. Ars. Con. Ipec. Lack, 
Sulph. ac. 

Ulcers, Spreading. Amm. c. Anac. Ars. Bell. 
Borax. Calc. c. Carbo VEa. Caust. Cham. Chel. 
Clem. Con. Cupr. met. Graph. Hep. Ign. lod. 
Kali c. Kali bich. Kreas. Lach. Lye. Magn. c. 
Merc. sol. Mez. Nat. c. E'at. mur. I^itr. ac. IS'ux 
V. Petr. Phos. Plumb, met. Fuls. Ranunc. bulb. 
Ranunc. scel. Rhus tox. Ruta. Sep. Sil. Spig. 
Squill. Staph. Sulph. Sulph. ac. Zinc. met. 

Ulcers, Suppurating. Ars. Asaf. Bar. c. Bar. mur. 
Bell. Carbo veg. Chin. Chin, sulph. Con. Crotal. 
hor. Dros. Hep. Lach. Mang. Merc. sol. Mtr. ac. 
Petr. Phos. Phos. ac. Puis. Sarsap. Sil. Sulph. 
Tart. e. 

Ulcers, Swollen. Aeon. Agn. Anath. muric. Arn. 
Ars. Aur. fol. Bar. c. Bell. Bry. Calc. c. Carbo 
an. Carbo veg. Caust. Cham. Cic. Cocc. Con. 
Crotal. hor. Dulc. Graph. Hep. lod. Kalic. Lamb, 
alb. Led. Lye. Mang. Merc. sol. ^at. c. Nat. mur. 
Nitr. ac. ISTux v. Petr. Phos. Phos. ac. Plumb, met. 
Puis. Rhus tox. Sabin. Samb. Sep. Sil. Staph. 
Sulph. Vip. red. Yip. torv. 

Ulcers with raised edges. Ars. Asaf. Bry. Carbo 
an. Caust. Cic. Cina. Hep. Ljc. Merc. sol. Mtr. 
ac. Nux V. Petr. Phos. Phos. ac. Puis. Sep. Sil. 
Sulph. 

Ulcers, Syphilitic. Anath. muric. Aur. fol. Cist. 
Merc. sol. Merc. viv. Nitr. ac. Thuj. 

Ulcers, White, or white spotted. Ars. Calc. c. Con. 
Dros. Graph. Lach. Merc. sol. Phos. Sep. Sil. 
Sulph. Tart. e. Thuj. 

Ulcers, Yellow. Anath. muric. Calc. c. Corall. 
Mtr. ac. Plumb, met. Staph. Sulph. Zinc. met. 

Ulcers, Purulent. Sarsap. Sil. 

Ulcers, Superficial. Lach. Petr. Polygon, hydrop. 



484 REPERTORY, 

Ulcers with white bases. Ars. Merc. sol. 

Ulcers, Small. Lach. Mtr. ac. 

Ulcers with red edges. Fluor, ac. Lye. E"ux v. 
Petr. 

Ulcers, Carious. Calc. c. Calc. phos. Lye. 

Ulcers, Round, or oval. Kali bich. Tart. e. Thuj. 

Ulcers with inflamed edges. Ars. Galv. Graph. 
Merc. dulc. 

Ulcers with everted edges. Anath. muric. Lye. 
Ranunc. bulb. 

Ulcers on Scalp. Anath. mur. Ars. Mtr. ac. 
Ruta. 

Ulcers on ears. Bov. Camph. Kali c. Oleand. 

Ulcers on face. Anath. muric. Ars. Bry. Con. 
lod. Lach. Merc. dulc. Merc. sol. E'at. c. Phos. 
Phyt. Psor. 

Ulcers on chin. Hep. Merc. sol. 

Ulcers about mouth. Agn. Alum. Borax. Canth. 
Gran. Hep. lod. Merc. sol. Mtr. ac E'ux v. Op. 
Petr. Plumb, met. Staph. Thuj. Zinc. met. 

Ulcers on lips. Anath. muric. Caust. Cic. Con. 
I^at. c. Sil. 

Ulcers on cheeks. Calc. c. lod. 

Ulcers on abdomen. Ars. Bar. mur. Chin. Cupr. 
Hep. Plumb, met. 

Ulcers in groin (buboes?). Anath. muric. Badiag. 
Bar. mur. Hep. 

Ulcers on penis. Anath. muric. Corail. Mtr. ac. 
;N"uxjug. Sulph. Thuj. 

Ulcers on prepuce. Corail. Hep. Merc. sol. Mtr. 
ac. Phos. Staph. Sulph. 

Ulcers on scrotum. Amm. c. Amm. mur. Aur. mur. 
Sep. 

Ulcers on labia. Graph. Tart. e. Thuj. 

Ulcers on nates. Borax. Hydrocotyle. 

Ulcers on mammse and nipples. Hep. Fhos. Sil. 



REPERTORY, 485 

Ulceks on arms. Electr. Kali bich. Lach. Elius 
tox. 

Ulcers on forearms. Kali bich. Polygon, bydrop. 

Ulcers on bands. Anatb. muric. Ars. Dros. Sil. 

Ulcers on fingers. Alum. Ars. Carbo veg. Kreas. 
Lye. Mang. Plat. Ranunc. bulb. Sep. 

Ulcers on tbigbs. Crotal. bor. Kali c. Merc. sol. 
Mtr. ac. Paul. pin. Sil. Tbuj. 

Ulcers on legs. Anatb. muric. Ars. Bar. c. Bry. 
Calc. c. Cantb. Carbo veg. Caust. Clem. Ipec. 
Grapb. Hydrast. Jacar. car. Lack, Lye. Merc. sol. 
Mur. ac. Nat. c. Nuxmoscb. Paul. pin. Pbos. Pbos. 
ac. Pbyt. Puis. Psor. E-uta. Sabin. Selen. Sil. 
Stapb. Sulpb. Yip. torv. 

Ulcers on feet. Con. Ipec. Pbos. Puis. Selen. 
Sulph. Zine. met. 

Ulcers on soles of feet. Anatb. muric. Ars. Sep. 
Sulpb. 

Ulcers on beels. Ars. Caust. Lam. alb. Nat. c. 
Sep. Sil. 

Ulcers on toes. J.r5. Carbo veg. Graph. Mtr. ac. 
Petr. Plat. Sep. 

Ulcers on ankles. Hydrocotyle. Sil. 

Varicella Acuminata. Aeon. Ant. crud. Ars. 
Bell. Bry. Carbo veg. Caust. Cycl. Ipec. ]^at. c. 
I^at. mur. Puls. Sep. Tart. e. Tkuj. 

Varicella Agnos^. Aeon. Ant. crud. Bell. Puis. 
Rhus tox. Sec. Sil. Tart. e. Tbuj. 

Yaricell^, pocks ulcerate and will not beal. Sep. 
Sulpb. 

Yarices about anus. Alum. Amm. c. Ant. crud. 
Ars. 

Yarices of pregnant v^omen. Carbo veg. Lye. Magn. 
aus. Millef. Puls. 

Yaricose Yeins, in legs especially. Fluor, ac. Sulpb. 
Zinc. met. 



486 REPERTORY. 

Vesicles in general. Aeon. Alum. Amb. Amm. c. 
Amm. mur. Anac. Ant crud. Arg. fol. Arn. Ars. 
Aur. fol. Bar. c. Bell. Borax. Bov. Bry. Calad. 
Calc. c. Camph. Cann. sat. Canth. Caps. Carhoan. 
Carbo veg. Caust. Cham. Chen. Chin. Cic. Clem. 
Coco. Coloc. Con. Crotal. hor. Cupr. met. Cjcl. 
DuLC. Electr. Euphorb. Graph. Grat. Guaj. Hell. 
Hej). H^^osc. Kali c. Kali chl. Kreas. Lach. Lauro. 
Lob. Lupul. Lye. Magn. ars. Magn. c. Magn. mur. 
Mang. Merc. sol. Mez. Mur. ac. Nat. c. 'Ea.i. mur. 
I^at. sulph. Nitr. W\tv. ac. iJs'ux v. Oleand. Oleum 
an. Op. Petr. Phos. Phos. ac. Plat. Plumb, met. 
Puis. Ranunc. bulb. Ranunc. seel. Rhodo. Rhus 
Tox. Ruta. Sabad. Sahin. Sarsap. Sec. Selen. 
Seneg. Sep. Sil. Spig. Spong. Staph. Stram. 
Sulph. Sulph. ac. Tabac. Tarax. Tart. e. Thuj. 
Yal. Yerat. alb. Vip. red. Vip. torv. Zinc. met. 

Yesicles contain air. Kali c. Yip. torv. 

Yesicles, Black. Ars. Lach. JSTat. c. Petr. Yip. 
torv. 

Yesicles, blue-black. Ars. Bell. Con. Lach. Ra- 
nunc. bulb. Rhus tox. Yip. torv. 

Yesicles, as if from a hum. Amb. Bell. Carbo an. 
Clem. Lye. ITat. c. Phos. Sep. Sulph. 

Yesicles close together. Ranunc. bulb. Rhus tox. 
Yerat. alb. 

Yesicles, Confluent. Alum. Rhus tox. 
. Yesicles, Cracked, breaking open. Bry. Crotal. hor. 
Lach. Lam. alb. Lupul. Nitr. Phos. Vip. torv. 

Yesicles, Erysipelatous. Amm. c. Ars. Bar. c. 
Bell. Bry. Carbo an. Chin. Euphorb. Graph, 
Hep. Lach. Petr. Phos. Ranunc. bulb. Rhus tox. 
Sabad. Sep. Staph. Sulph. 

Yesicles, Fistulous. Aur. fol. Calc. c. Petr. 

Yesicles, Gangrenous. Aeon. Ars. Bell. Camph. 



REPERTORY. 487 

Carbo veg. Hyosc. Lach. Mur. ac. Eanunc. bulb. 
Sabin. Sec. 

Vesicles, Hard. Lach. Phos. ac. Sil. 

Vesicles, Humid. Electr. Hell. Hep. Lach. Mang. 
Merc. sol. Phos. Ranunc. bulb. Ranunc. seel. Rhus 
tox. Sulph. Vip. torv. 

Vesicles, Inflamed. Amm. mur. Bar. c. Bell. Mtr. 

Vesicles, Raised. Fluor, ac. Merc. sol. Selen. Sulph. 

Vesicles, Red. Ant. crud. Calc. phos. Cic. Cycl. 
Crotal. hor. Fluor, ac. Lach. Mang. Merc. sol. i^at. 
c. Nat mur. Oleum an. Sil. Val. 

Vesicles with red areola. Calc. caust. Cann. sat. 
Crotal. hor. Kali c. Kali chl. ]^at. c. Sil. Sulph. 
Tabac. Vip. torv. 

Vesicles sac-shaped. Kali c. Vip. torv. 

Vesicles, Sanguineous. Aes. Aur. fol. Bry. Canth. 
Fluor, ac. Nat. mur. Sec. Sulph. 

Vesicles, Scurfy. Hell. Nat. mur. Nitr. ac. Ra- 
nunc. bulb. Sih Sulph. 

Vesicles, Suppurating. Amm. mur. Aur. fol. Bov. 
Calc. c. Carbo veg. Magn. c. Nat. c. Nitr. ac. Petr. 
Phos. Puis. Ranunc. bulb. Ranunc. seel. Rhus tox. 
Sarsap. Sulph. Vip. torv. Zinc. met. 

Vesicles, Transparent. Kali c. Lach. Magn. c. 
Magn. mur. Mang. Merc. sol. Ranunc. bulb. 

Vesicles surrounding ulcers. Lach. Rhus tox. 

Vesicles, Ulcerated. Calc. c. Caust. Graph. Merc. 
sol. Nat. c. Sulph. Zinc. met. 

Vesicles, Watery. Rell. Bov. Clem. Cupr. met. 
Graph. Kali c. Merc. sol. Nat. c. Nitr. Oleum an. 
Plat. Plumb, met. Rhus tox. Rhusvern. Sec. Sulph. 
Tabac. Vip. red. Zinc. met. 

Vesicles, Whitish. Amm. c. Berb. Cann. sat. 
Caust. Clem. Electr. Graph. Hell. Hep. Lach. 
Merc. sol. Mez. Nat. c. Phos. Sabad. Sulph. Thuj. 



488 REPERTORY. 

Vesicles, Yellowish. Ant. crud. Dulc. Crotal. hor. 
Mur. ac. Ranunc. seel. Rhus tox. Yip. torv. 

Yesicles, Purulent. Merc. viv. Sil. 

Yesicles filled with yellow water. Calc. phos. Kali 
nit. W\i\\ Ranunc. scel. Rhus tox. Tabac. 

Yesicles, Deep. Lach. Merc. sol. 

Yesicles, Spreading. Kali c. Magn. c. Merc. sol. 
Nitr. ac. 

Yesicles, Corrosive. Graph. Kalic. Magn.c. Ra- 
nunc. scel. 

Yesicles, Large. Caust. Magn. mur. Phos. 

Yesicles, Small. Amra. mur. Cann. sat. Fluor, ac. 
Graph. Hell. Lach. Mang. Merc. sol. Merc. viv. 
E'at. mur. Mtr. ac. Rhus tox. Thuj. 

Yesicles on scalp. Bov. Clem. Oleum an. 

Yesicles on eyelids. Magn. arc. Rhus tox. Selen. 

Yesicles on ears. Alum. Chin. Rhus ven. Rhus 
vern. 

Yesicles on nose. Amm. c. Carho an. Croton tig. 
Lach. Magn. mur. IN'at. c. Nat. mur. Mtr. ac. Petr. 
Phos. Plumb, acet. Plumb, met. Rhus tox. Sil. 
Yerat. alb. 

Yesicles on face. Alum. Amm. c. Amm. mur. 
Ant. crud. Aur. fol. Bar. c. Bell. Bov. Bry. Canth. 
Carbo an. Caust. Cic. Clem. Eiiphorb. Graph. 
Lach. Lupul. Magn. c. Mang. ]^at. c. Mtr. Mtr. 
ac. E^at. mur. Oleum an. Petr. Phos. Plant, maj. 
Rhus rad. Rhus tox. Rhus ven. Sep. Sil. Sulph. 
Yal. Zinc. met. 

Yesicles on and about lips and mouth. Alum. Amm. 
c. Amm. mur. Ars. Aur. fol. Bell. Bry. Canth. 
Carbo an. Carbo veg. Caust. Cic. Clem. Con. 
Graph. Gum. gut. Hell. Hep. Kalic. Lauro. Magn. 
c. Magn. mur. Mang. Merc. sol. Mez. Mur. ac. 
I^at. c. Nat mur, Kat. sulph. Mtr. Par. Phos. 



REPERTORY. 489 

Plat. Ratanh. Rhodo. Rhus tox. Sarsap. Seneg. 
Sep. Sil. Staph. Sulph. Val. Yerat. alh. Zinc. met. 

Vesicles on upper lip. Cic. Ratanh. Rhus veu. 

Vesicles at corners of mouth. Caust. Lauro. Mez. 
Seneg. 

Vesicles on chin. Canth. Hep. ^at. c. Sarsap. 

Vesicles on forehead. Canth. Plumb, acet. 

Vesicles on abdomen. Caust. Merc. sol. 

Vesicles on glans penis. Ars. hjdrog. Merc. sol. 
Phos. ac. Rhus tox. Stann. Thuj. 

Vesicles on prepuce. Ars. hydrog. Carboveg. Caust. 
Graph. Merc. sol. Mtr. ac. 

Vesicles on neck. Alum. Hjdrocotyle. Magn. c. 
Vip red. 

Vesicles on nape of neck. Caust. Magn c. 

Vesicles on back. Caust. Graph. Lach. l!^at. c. 

Vesicles on scapulae. Amm. c. Ant. crud. Caust. 
Cic. Lach. Vip. red. 

Vesicles on shoulders. Amm. mur. Ant. crud. 
Magn. c. Mang. Rhus tox. Vip. tor v. 

Vesicles on arms. Amm. mur. Ant. crud. Caust. 
Hydrocy. ac. Kali chl. Magn. c. Mang. Merc. cor. 
Merc. sol. ^N'at. c. Nat, mur. Puis. Sarsap. Sil. 
Spong. Staph. Sulph. Vip. torv. 

Vesicles on forearm. Caust. Lob. Sarsap. Sil. 
Spong. Staph. Sulph. 

Vesicles on hands. Ant. crud. Bov. Coutts's caust. 
Clem.. Cocc. Hep. Kali c. Kali chl. Kali hyd. Lach. 
Lupul. Magn. c. Merc. sol. Mez. Nat. 'mur. Phos. 
Plant, maj. Rhus tox. Selen. Sep. Spig. Sil. Squill. 
Sulph. 

Vesicles on backs of hands. Lob. Sulph. 

Vesicles on palms of hands. Bell. Canth. Rhusven. 

Vesicles on wrists. Amm. mur. Merc. sol. Rhus 
rad. Bhus tox. 

Vesicles in bend of elbow, ^at. c. Sulph. 

33 



490 REPERTORF. 

Vesicles on fingers. Bell. Clem. Cupr. met. Cyd. 
Electr. Graph. Grat. Hell. Hep. Kali c. Lach. 
Lauro. Magn. c. Mang. Nat. c. Nat. mur. ^at. sulph. 
Nitr. ac. Phos. Fhos. ae. Plumb, met. Banunc. scelr. 
Rhus ven. H/ius vern. Sarsap. Sep. Sil. 

Vesicles between fingers. Lob. Phos. Rhus tox. 

Vesicles on thumbs. Hep. Lach. Mez. Nat. c. I^at. 
sulph. Mtr. ac. Phos. ac. Sep. 

Vesicles on hips and nates. Borax. Calc. c. Oleand. 
Phos. ac. Rhus tox. 

Vesicles on thighs. Ant. crud. Cann. sat. Caust. 
Hyosc. E'at. c. Oleand. Sarsap. Vip. torv. 

Vesicles on legs. Ant. crud. Bell. Caust. Hjosc. 
Kali c. Mang. Staph. Vip. torv. 

Vesicles on knees. Ant. crud. Carbo veg. Caust. 
Phos. Rhus tox. Sabad. 

Vesicles on feet in general. Ars. Caust. Con. Graph. 
Lach. Phos. Selen. Sep. Tarax. Vip. torv. Zinc, 
met. 

Vesicles on soles of feet. Ars. Sulph. 

Vesicles on heels. Calc. c. Caust. Lach. Lam. alb. 
Nat. c. Petr. Phos. Sep. 

Vesicles on toes. Graph. Lach. 'Nat. c. Nitr. ac. 
Phos. ac. Rhus ven. Selen. Sulph. 

Warts, Bleeding. Cinuab. Magn. aus. Nat. c. 
Mtr. ac. Thuj. 

Warts, Flat. Dulc. Lach. 

Warts, Hard, horny. Ant. crud. Borax. Dulc. 
Graph. Ranunc. bulb Sil. Sulph. Thuj. 

Warts, Indented. Calc. c. Euphras Lye. Nitr ac. 
Phos. ac. Rhus tox. Sabin. Staph. Thuj. 

Warts, Inflamed. Amm. c. Bov. Calc. c. Caust. 
Hep. Lye. Nat. c. Nitr. ac. Rhus tox. Sep. Sil. 
Staph. Sulph. 

Warts, Large. Caust. Dulc. Kali c. Nat. c. Nitr. 
ac. Sep. 



REPERTORY. 491 

Warts, Old. Gale. c. CausL Nitr. ac. Rhus tox. 
Sulph. 

Waets, Pedunculated. Dnlc. Lye. Thuj. 

Warts, Small. Bar. c. Calc. c. Dulc. Hep. Lach. 
Ehus tox. Sarsap. Sep. Sulph. Thuj 

Warts, Suppurating, humid. Ars. Bov. Calc. c. 
Caust. Hep. Sil. Thuj. 

Warts, Ulcerated. Ars. Calc. c. ^at. c. Phos. 

Warts on eyebrows. Anath. muric. Caust. 

Warts on face. Caust. Dulc. Kalic. Mtr. ac. Sep. 
Sulph. 

Warts on arms. Caust. Lye. x^at. c. Mtr. ac. Sep. 
Si]. Sulph. 

Warts on hands. Anac. Berb. Calc. c. Dulc. Lach. 
Lye. JN'at. c. ISTat mur. Nitr. ac. Phos. Rhus tox. 
Sep. Sil. Sulph. Thuj. 

Warts on palms of hands. Anac. I^at. mur. 

Warts on lingers. Berb. Lach. Lye. Rhus tox, 
Sulph. Thuj. 



i 



INDEX. 



Abscess, 391 

Acne, . . . 118, 125, 391 

Aconite, 269 

Acrodynia, .... 147 

Adenitis, .... 391 

Aethusa cynapium, . . 270 

Agaricus muse, . . . 270 

Agnus castus, . . . 271 

Ailanthus glandulosa, . . 271 

Alnus rubra, .... 272 

Alopecia, . . 161, 173, 207 

Alumina, .... 272 

Ambra grisea, . . . 272 

Ammonium carb., . . . 273 

Ammonium mur., . . . * 274 

Auacardium, .... 275 

Anatherum muricatum, . 275 

Angio-neurosis, . . . 220 

Angustura, .... 276 

Anthracinum, . . . 276 

Anthrakokali, . . . 276 

Antimonium crudum, . . 277 

Apis mel., .... 278 

Apocynum, .... 279 
Argentum fol., . . .280 

Argentum nitr., . . . 280 

Arnica, 281 

Arsenicum alb , . . . 281 

Arsenicum hydrarg., . . 283 

Arsenicum iodid., . . . 283 

Arum triph,, .... 284 

AsafcBtida, .... 284 

Asarum, 285 

Asclepias, .... 285 
Atrophy, . . . .160 

Atrophy of nails, . . . 164 

Aurum fol., . . . . 285 

Aurum mur., .... 286 

Badiaga, . . . .286 

Balsamum Peru, . . . 286 
Baptisia, . . . .286 

Baryta carb. and mur., . . 286 
Bedsores, .... 391 



PAGE 

Belladonna, . . . .288 

Bellis perennis, . . . 289 

Berberis vulgaris, . . . 290 

Boils, 391 

Borax, 291 

Bovista, 291 

Bromine, . . . . 291 

Bryonia, .... 291 

Bufo, 293 

Burns, 392 

Caladium, .... 293 

Calcarea acet. and carb., . 293 

Calcarea caust. and phosph., . 295 

Camphora, .... 295 

Camp itch, .... 49 

Cancer 392 

Cannabis sat., . - . 295 

Cantharis, .... 296 

Capsicum, .... 296 

Carbo anim. and veg., . . 297 

Carbolic acid, . . . 298 
Carbuncle, . . . .392 

Carburetum sulph., . . 298 

Causticum, .... 299 
Chamomilla, . . . .299 

Chelidonium, . . . 300 

Chilblains, .... 392 

China, 300 

Chininum sulph., . . . 301 

Chloasma, .... 114 

Chloral hydrate, . . .301 

Cicuta virosa, . . . 302 

Cimicifuga, .... 302 

Cina, . . . ... 303 

Cinnabaris, .... 303 

Cistus can., .... 303 

Clematis, .... 303 

Cocculus, .... 304 

Coffea, 305 

Colchicum, .... 305 

Colocynthis, .... 305 
Comedo, . . . .122 
Condyloma, . . 157, 207, 393 



494 


INDEX. 






PAGE 




PAGE 


Conium, 


. 806 


Herpes, . 


61, 395 


Copaiva, 


. 807 


Hydrastis, 


. 320 


Coralliura rubrum, 


. 307 


Hyoscyamus, . 


. 321 


Cornus circinata, . 


. 307 


Hypericum perf.. 


. 321 


Corns, 


. 393 






Cosmoline, 


. 307 


Ichthyosis, 


26, 158, 396 


Crocus sat., . 


. 307 


Impetigo, 


87, 204, 396 


Crotalus, 


. 308 


Increased sebaceous 


secretion, 118 


Croton tigliura, 


. 809 


Intertrigo, 


. 396 


Crusta lactea. 


. 393 


Ignatia, . 


. 821 


Cundurango, 


. 809 


Indigo, . 


. 322 


Cuprum acet., 


. 309 


Iodine, . 


. 322 


Cutis anserina, 


. 220 


Ipecacuanha, . 


. 323 


Cyclamen, 


. 310 


Iris versicolor, 


. 323 


Dermatolysis, 


. 154 


Kali bichromicum. 


. 324 


Digitalis, 


. 310 


Kali carbonicum. 


. 325 


Dolichos pruriens, . 


. 311 


Kali hydrojod.. 


. 326 


Drosera, . 


. 311 


Kali nitricum, 


. 327 


Dulcamarse, . 


. 311 


Keloid, . 


. 152 






Kreasote, 


. 327 


Eczema, 


. 30, 394 






Ecthyma, 


. 204, 94 


Lachesis, 


. 328 


Epithelioma, . 


. 141 


Ledum palustre. 


. 331 


Elephantiasis Grsecoi 


•um, . 145 


Lentigo, 


. 113 


Elephantiasis Arabui 


n, . . 150 


Leprosy, 


20, 396, 145 


Electricity, 


. 312 


Leucoderma, . 


. 113 


Erysipelas, 


. 393, 253 


Lichen, . 


15, 199, 397 


Erythema, 


11, 199, 394 


Lobelia, . 


. 332 


Euphorbium, . 


. 312 


Lycopodium, . 


. 332 


Euphrasia, 


. 313 


Lupus, . . 1 


25, 134, 138, 397 


Favus, . 


. 165 


Magnesia, 


. 335 


Felons, . 


. 394 


Manganum, . 


. 336 


Ferrum met.,. 


. 318 


Melanoderma, 


. 110 


Fluoric acid, . 


. 814 


Melasma, 


. 113 


Freckles, 


. 394 


Miliaria, 


27, 397 


Fibroma molluscum. 


. 153 


Milium, 


. 123 


Fungus hsematodes, 


. 895 


Mercurius, 


. 337 


Fungus medullaris, 


. 395 


Morbilli, 


. 222, 397 


Furuncles, 


. 99 


Moles, . 


. 397 






Molluscum, . 


. 123 


Ganglia, 


. 395 


Morbus Addisonii, 


. Ill 


Gangrene, 


. 395 


Morphium, 


. 341 


Galvanismus, . 


. 314 


Muriatic acid. 


. 342 


Gelseminum, . 


. 814 


Mycosis, 


. 184 


Ginseng, 


. 515 


Myringomycosis, 


. 184 


Goitre, . 


. 395 


Mycatoma, 


. 182 


Granatum, 


. 315 






Graphites, 


. 815 


Nsevi materni, 


. 154, 397 


Gratiola offic, 


. 317 


Nails, diseases of. 


. 163 


Grutum, 


. 123 


Natrum, 


. 343 


Gummi gutti, 


. 317 


Nettlerasb, . 


12, 398 






Neurosis of the ski 


n, . . 217 


Helleborus, 


. 318 


Nitric acid, . 


. 345 


Heparsulph., 


. 319 


Norwegian leprosy 


. 147, 217 



INDEX. 



495 





PAGK 




PAGE 


Nnx juglans, . 


. 347 


Secale, . 


. 367 


Nux vomica, . 


. 348 


Sepia, 


. 368 






Silicea, . 


. 370 


Oleum animale, 


. 349 


Small-pox, 


. 237, 400 


Onychia, 


. 164, 207 


Spigelia, 


. 371 


Onychogryphosis, . 


. 163 


Spongia, 


. 372 


Onychomycosis, 


. 182 


Staphysagria, . 


. 373 


Opium, . 


. 350 


Stramonium, . 


. 374 


Oxalic acid, . 


. 351 


Styes, . 


. 400 






Sulphur, 


. 375 


Papillary tumors, . 


. 155 


Sudamina, 


. 27 


Pellagra, 


. 147, 217 


Syphilis, 


. 195, 400 


Pemphigus, . 


398, 80, 203 


Syphilitic ulcers, . 


. 206 


Petroleum, 


. . 352 


Symptoms, objectiv 


e, . . 402 


Phosphorus, . 


. 353 


Syphilinum, . 


. 378 


Phthiriasis, . 


. 193 






Pityriasis, 


. 398, 24 


Tabacum, 


. 379 


Plica polonica, 


. 398, 184 


Tartarus emet., 


. 380 


Porrigo, 


. 398, 30 


Tellurium, 


. 381 


Phytolacca, . 


. 355 


Thuja occid., . 


. 381 


Plumbum, 


. 357 


Tinea, . 


170-178, 400 


Psorinum, 


. 357 


Typhus, 


. 257 


Prurigo, . 39^ 


3, 18, 190, 218 


Tumor, cystic, 


. 401 


Psoriasis, 


20, 201, 399 






Prairie itch, . 


. 49 


Ulcers, . 


. 206, 401 


Plaques muqueuses. 


. 207 


Ulcus rodens. 


. 141 


Pulsatilla, 


. 358 


Urticaria, 


12, 217, 398 


Purpura, 


. 108, 399 


Urtica urens, . 


. 383 


Pustula maligna, . 


. 105 






Pustula d'Aleppo, . 


. 107 


Valeriana, 


. 383 






Variolinum, . 


. 384 


Eanunculus, . 


. 359 


Variola, . 


. 237, 400 


Khododendron, 


. 360 


Varioloid, 


. 248 


Khus rad. and tox,, 


. 361 


Varicella, 


. 401, 249 


Khus vernix and ven 


, . .364 


Vaccinia, 


. 250 


Roseola, . 


11, 199, 399 


Varices, . 


. 402 


Rubeola, 


. 222 


Verrucse, 


. 249, 402 


Rumex, . 


. 365 


Veratrum, 


. 384 


Rupia, . 


86, 203, 399 


Vinca minor, 


. 385 






Viola, . 


. 386 


Sabadilla, 


. 365 






Sabina, . 


. ■ 366 


Warts, . 


. 249, 402 


Sanguinaria, . 


. 366 


Wens, . 


. 402 


Sarracenia, 


. 366 






Sarsaparilla, . 


. 367 


Xanthoderma, 


. 113 


Scabies, . 


. 399, 185 


Xeroderma, . 


. 134 


Scarlatina, 


. 225, 399 






Scaldhead, 


. 170, 399 


Zoster, zona, . 


. 72, 217 


Scrofulo.^is, 


. 216, 400 


Zincum, 


. 386 


Seborrhcea, 


. 118 


Zymosis, 


. 221 



,2681 



Q 



< 



t 









cP' 








?^ 



.-.S' 






' ^^^^ 






'^. ,^x 











LIBRARY OF CONGRESS 



QD0ES=^751flE 



ti! ' 






t"^5f^^ 



S-i' 




,, It, 
» 



* » \ -* i"' " 'J z 















f«;*^ 



ii'„ 


















'>,,,'. 1,, ,,i*^'- . 










ri^;^ 






